Date
19 October 2018
Tseung Kwan O Hospital has offered an apology and deep sympathies to a 68-year-old patient and his family over the delayed follow-up on a computerized tomography investigation report.. Photo: TVB News
Tseung Kwan O Hospital has offered an apology and deep sympathies to a 68-year-old patient and his family over the delayed follow-up on a computerized tomography investigation report.. Photo: TVB News

Hospital admits failure to follow up on mass in patient’s chest

Tseung Kwan O Hospital (TKOH) admitted having failed to follow up on a mass in the chest of a male patient, which has since grown in size.

The hospital said it was a case of delayed follow-up on a computerized tomography investigation report. It has offered an apology and deep sympathies to the patient and his family. 

The patient, now 68, was admitted to the TKOH surgical ward on July 19, 2014 for epigastric pain, fever and septic shock, hk01.com reports.

The results of a computerized tomography revealed that he suffered from ruptured calculus cholecystitis, severe cholangitis and common bile ductal stone.

The doctors performed an endoscopic retrograde cholangiopancreatography for drainage and an emergency cholecystectomy operation on him before he was discharged on July 31 of that year.

On June 28 this year, the patient was admitted to the medical ward of the Pok Oi Hospital (POH) for treatment of anemia.

While reviewing the computerized tomography report performed at TKOH in 2014, the POH doctor noticed that a right anterior mediastinal shadow was also reported in addition to the findings of ruptured calculus cholecystitis, severe cholangitis and common bile ductal stone.

Because the upper extent of the shadow was not covered in the examination report, the TKOH radiologist suggested a computerized tomography of the thorax should be performed on the patient.

However, no further examination on the thorax and follow-up had been arranged by the TKOH surgeon as the treatment was concentrated on cholecystitis.

Upon learning of the situation, the POH doctor suggested that the patient undergo a computerized tomography scan of the thorax.

The investigation, completed on July 6 this year, found that the right anterior mediastinal mass has increased in size.

On July 16, the patient was transferred to Tuen Mun Hospital (TMH) for further examination to confirm the pathology and provide the appropriate treatment.

The surgical team of TKOH has also been informed of the patient’s condition.

In its announcement, TKOH said it has met with the patient and his relatives to explain the incident and related management plan.

The patient is now in a stable condition and TMH will be responsible for subsequent treatment.

The TKOH said it has reported the case to the Hospital Authority head office, and an investigation will be conducted. 

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TL/JC/CG

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