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A pregnant woman lost her baby after doctors in a hospital affected by a scandal misdiagnosed her appendicitis as a stink bug.
The woman, who has not yet been named and who calls herself "Mrs. C", was taken to Queen Elizabeth University Hospital in Glasgow for treatment.
The "Super Hospital", which is one of the largest in Europe, is already under surveillance following a recent scandal.
Two patients, including a 10-year-old boy, died as a result of infection with pigeon droppings.
NHS Greater Glasgow and Clyde admitted that there were "obvious gaps" in the care of the expectant mother after the publication of a damning report.
The woman was admitted to the hospital with severe abdominal pain and presumed appendicitis.
An ultrasound was performed and she was treated for gastroenteritis, commonly known as "stomach flu".
However, her condition deteriorated and she developed sepsis – and the doctors discovered that her unborn baby had died.
An investigation revealed that there was a catalog of failures in women's care, including the lack of examination by an experienced obstetrician and a "lack of physical examination." "by experienced doctors.
Vital signs, including blood pressure, respiratory and cardiac frequency, were not controlled "correctly" and signs of sepsis were misinterpreted.
The reason for its deterioration was discovered during its opening in the operating room and its appendix was removed.
However, she subsequently developed sepsis and organ failure.
The patient recovered after treatment but was readmitted twice more with abdominal muscle infections.
The Scottish Public Services Ombudsman (SPS0) complained that there was an "unreasonable breach" in the diagnosis of appendicitis and sepsis.
The doctors failed to adequately consider an alternative diagnosis to gastroenteritis and should have considered performing a CT scan or a laparoscopy.
The commission was also criticized for its delays in launching an investigation into the incident.
An SPSO spokesperson said: "There has been an unreasonable failure to diagnose Ms. C with appendicitis and sepsis and, therefore, to deal with Ms. C.'s complaints.
"The board has identified a number of failures, but we have made additional recommendations for learning and improvement."
The hospital was asked to apologize to the patient and to review the care provided to deteriorating patients, particularly those with signs of sepsis, with patients "elevated" to an experienced physician.
An NHSGCC spokesperson said, "We recognize that the patient's care has clearly been lacking and we will write to the patient to ask him to apologize.
"A multidisciplinary team discusses the mediator's recommendations to determine how to implement them quickly and to ensure that the lessons learned in this case are communicated to the appropriate staff."
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Main reports of Mirror Online
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