A coroner has concluded that if all required tests had been performed, the sepsis-dead woman might have survived.
The Kent and Canterbury Hospital had discharged Marion Llewellyn, 66, of Canterbury, Kent, but she was readmitted after five days and passed away three weeks later.
Due to the lack of clinical investigations, a coroner in Maidstone determined that she died from peritonitis and sepsis.
According to the East Kent Hospitals Trust, a thorough investigation into Mrs. Llewellyn's death was conducted.
The inquest was informed that Mrs. Llewellyn had a plastic stent fitted on February 8, 2021, following a procedure to remove kidney stones.
With severe abdominal pain, nausea, and vomiting on February 18 of that year, she went to the Kent and Canterbury Hospital Urgent Care Center.
The on-call doctor thought the stent was to blame for the symptoms, but an X-ray proved it was in the right place.
However, Prof. Sarah O'Dwyer, a consultant surgeon testifying as an expert witness, claimed that the results of the blood tests were abnormal enough to warn the doctor about a potential infection.
The next step, according to her, would have been to consult a senior colleague, and additional blood tests and medical exams might have resulted in a hospital admission.
Coroner Joanne Andrews learned that Mrs. Llewellyn was instead sent home.
The Kent and Canterbury Hospital discharged Mrs. Llewellyn, but she later passed away from sepsis and peritonitis.
Mrs. Llewellyn was given a peritonitis and sepsis diagnosis after being transported by ambulance to the Queen Elizabeth the Queen Mother Hospital in Margate on February 23. She passed away on March 15 at the hospital.
Mrs. Llewellyn died from a bowel perforation that had caused peritonitis and later sepsis, according to Ms. Andrews' narrative verdict.
She claimed that Mrs. Llewellyn was identified as having symptoms related to a stent on February 18, 2021, when she visited the Kent and Canterbury Urgent Care facility.
However, fatal peritonitis was not found because clinical investigations that would have found it were not conducted.
If his mother had received the proper care, according to Nick Lewellyn, she might still be alive today.
Nick Llewellyn, the son of Mrs. Llewellyn, commented following the hearing: "For those few days coming home, she's in absolute agony.
"She would most likely still be here today if only everything had been resolved on the 18th and she had been diagnosed and treated appropriately.
The impact of that will linger with us for the rest of our lives. ".
A representative from East Kent Hospitals said: "We would like to offer Mrs. Llewellyn's family our sincere condolences and we are very sorry for the failings in her care.
A thorough investigation was conducted after her passing in order to determine what went wrong and draw conclusions.
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