Acute mesenteric ischemia and malpractice claims.
BACKGROUND
Acute mesenteric ischemia can be a difficult diagnosis to make, but delay contributes directly to infarction, and this may provide a setting for malpractice claims.


METHODS
We reviewed 180 consecutive malpractice claims submitted by attorneys for medical expert (ME) review during the 12 years ending in late 1998. Seven cases involved acute mesenteric ischemia.


RESULTS
Alleged failure to make a timely diagnosis was the basis for 5 of these claims, failure to provide anticoagulant protection for 1, and failure to prevent nonocclusive ischemic infarction for 1. Six claims were closed after ME review and 1 claim involving late diagnosis was settled before trial.


CONCLUSIONS
The risk of a malpractice claim is reduced by consideration of computed tomography (CT), angiography, and surgical consultation as soon as a patient is seen whose differential diagnosis includes acute mesenteric ischemia.
Fink
S
S
Veterans Affairs Medical Center, Hampton, VA, USA.
Chaudhuri
T K
TK
Davis
H H
HH
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000792:Angiography; D003951:Diagnostic Errors; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis; D008297:Male; D008318:Malpractice; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D008643:Mesentery / Q000098:blood supply; D008875:Middle Aged; D010359:Patient Readmission