Case Examples

With nearly seventeen (17) years of experience in the courtroom, IV has a proven track record of winning cases at a rate far in excess of the industry average.

In fact, where other insurers have realized significant losses, IV has helped influence verdicts for the defense team or assisted in achieving case dismissals. Please review this featured case to learn more about our process and our results.

Post-operative complications with gastric bypass lead to lawsuit.

Case Details:

This suit was filed by Charlie Weis, head coach of the football team at the University of Notre Dame, in the wake of a laparoscopic roux-en-Y gastric bypass performed on 6/14/2002. In this case, two well-known complications, intra-abdominal bleeding and leakage, occurred in the postoperative period.

During a contrast upper GI series, a leak was revealed at the site of the gastrojejunostomy. Two days after the initial surgery, a second surgery was performed. An exploratory jejunostomy revealed that the roux limb was filled with clotted blood, which caused increased pressure in the gastric pouch, in turn leading to leakage of the anastomosis. The physicians irrigated the blood and repaired the leakage. Then, by inserting an endoscope and filling the peritoneal cavity with fluid, the surgeon ensured that the anastomosis was intact.

Defense Verdict:

Intra-abdominal bleeding and leakage are common postoperative complications of this procedure, so it was not surprising that they occurred in the Weis case. The complications were diagnosed in timely fashion, and further surgery was required to repair the leakage. The second surgery was successful.

IV provides medical exhibits to explain complicated procedures and recognized complications to the lay jury. In this case, we provided a normal-anatomy medical illustration of the digestive system, identifying structures and organs to assist the defendants and experts in educating the jury. We then provided a case-specific medical illustration to explain the roux-en-Y gastric bypass that was performed. We illustrated the laparoscopic ports and the techniques that define a normal Roux-en Y gastric bypass. The doctor could then educate the jury on the details of the case with the assistance of a clear and accurate visual representation of the relevant anatomy.