ALM & LSM –v- Royal United Hospital Bath NHS Trust
SH v B District Health Authority & Dr J: Failure to diagnose kidney stones leading to nephrectomy
TH v Dr G, Dr P and Dr C: Failure to diagnose kidney stones leading to Nephrectomy
ALM & LSM –v- Royal United Hospital Bath NHS Trust
The infant Claimant ALM (born 05.03.1994) was admitted to the Defendant Trust Hospital in Bath for a routine hypospadias repair on Tuesday 6th August 1996.
He was discharged on the evening of Wednesday 7th August 1996 around 7.00pm, informally. By Friday 9th August 1996, ALM developed urinary retention and renal failure, and had to be admitted to the Intensive Care Unit in the Bath hospital before being transferred to Bristol Royal Hospital for Sick Children. There he had to undergo debridement procedures due to extensive post-operative infection of the genitalia.
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SH v B District Health Authority & Dr J: Failure to diagnose kidney stones leading to nephrectomy
SH reported to his GP on 1st May 1990 that he was passing painless blood in his urine (after sport).
There was a further episode on 30th March 1991. The GP behaved appropriately and referred SH to the Urologists at RU Hospital on 2nd April 1991.
On 28th May 1991, the hospital carried out an Intravenous Pyelogram (IVP), which showed a stone in the left kidney.
Thereafter, the patient was lost to follow-up, which should have been arranged when the result of that IVP became known. Nothing was said to the Claimant or to his GP by the urology team at the RU Hospital, and the patient continued to suffer pain and discomfort from his kidney.
In December 1992, the GP noted that the patient still had loin pain and haematuria, and the GP referred the patient back to the RU Hospital in December 1992. By February 1993, the kidney stone had migrated into the ureter and SH underwent an (unsuccessful) operation to push the kidney stone back into the kidney.
Following that procedure, he underwent a nephrostomy and these procedures caused him a lot of pain. Then, fortunately, he managed to avoid an open operation, because it turned out that the stone was able to be fragmented by extracorporeal shock wave lithotripsy.
The Claimant claimed for the unnecessary pain and suffering that he had to suffer from the middle of 1991 and for the extra and more complex procedures that he had to undergo as a result of the stone having passed into the ureter.
This case was handled by Gerry Ferguson. Please click here to view the full case report.
TH v Dr G, Dr P and Dr C: Failure to diagnose kidney stones leading to Nephrectomy
In about May 1987, H developed some pain in her right loin area, it was a constant throb. She kept moving around to try and alleviate the pain, but to no avail. The attack lasted several hours; it faded away, and the next day, H didn’t feel too bad. She went to see her GP at FP Health Centre and was told she had a urine infection, which was treated.
This was the first episode of many right loin pain episodes and urinary tract infections between 1987 and 1992.
On 21st May 1992, H was referred to RU Hospital where radiology of kidneys, ureter and bladder, on 1st June 1992, showed a large staghorn calculus in the right kidney, and probably calculus in the left lower renal pole.
H continued to have right flank pain continually for 2 months, and thereafter suffered intermittent episodes of pain until in February 1993 she was admitted to RU Hospital for surgery, but because she had not had a proper history taken, the hospital did not realise she was on a contraceptive depot, and the operation had to be postponed. During March 1993, she was in uncontrolled pain, so that eventually she had to be admitted to hospital and given Diamorphine.
A right Nephrectomy took place on 22nd March 1993. H developed a wound infection, which was treated appropriately, and she required a blood transfusion.
This case was handled by Gerry Ferguson. Please click here to view the full case report.
