Legs amputated and uterus and ovary removed from a woman due to poor medical care; CNDH issues recommendation to IMSS

The National Human Rights Commission (CNDH) issued recommendation 118/2022 to the Mexican Social Security Institute (IMSS), in charge of Zoe Robledoafter a woman had her legs amputated, her uterus was removed and her right ovary was removed in a hospital in Querétaro, in which the autonomous body considered that the care provided “was neither timely nor adequate.”

According to the file CNDH/4/2019/5817/Q, a 27-year-old woman filed a complaint against personnel assigned to the Family Medicine Unit (UMF) 9 and the Regional General Hospital (HGR) 1 of the IMSS, in Queretarofor poor medical care during a curettage to remove a “translocated” Intrauterine Device (IUD) in September 2018, which caused an infection and consequently 3 cardiac arrests, removal of the uterus and the right ovary.

The complaint states that her legs were also amputated, “without an adequate follow-up given to her clinical condition and without deciding the medical specialty that should treat her, considering whether it corresponded to trauma and orthopedics or to angiology, for which reason he was neglected to provide the physical therapy that he required at the time.”

“According to the extension of the Medical Opinion prepared by personnel of this National Commission, the IUD was removed with tweezers, without instrumental uterine curettage or laparotomy being performed, which is the recommendation in the case of a translocated IUD, in addition to the fact that the victim continued with abdominal discomfort that triggered sepsis. Due to the foregoing, this Autonomous Body considers that the care provided to the victim was neither timely nor adequate,” the recommendation states.

It adds that the removal of the IUD was carried out by the responsible authority “blindly”.

Days later, the patient presented with low back pain and the condition was recorded as a precedent to the IUD removal procedure “without carrying out any analysis, X-rays or ultrasound”, for which she was diagnosed with “acute low back pain”, prescribing only medications to control pain, in addition that the removal of the IUD was not reviewed.

Also read: They denounce alleged negligence in the IMSS clinic in Puebla

Because the lumbar and abdominal pain continued, in addition to presenting nausea, vomiting and diarrhea, on October 2, 2018, the young woman presented herself in the emergency room of UMF 9 at night, being sent to HGR 1, where He was admitted with data of hypovolemic shock 11, infectious gastroenteritis and severe dehydration; she lost consciousness and later she learned that it was a cardiac arrest and woke up in HGR 1, since she was transferred to the emergency room, in addition to evidence that resuscitation maneuvers were carried out for 30 minutes.

After several procedures while hospitalized, on the fifth day, on October 7, 2018, the woman was still in serious condition with a high fever, abdominal drainage, low platelet count, vaginal discharge of foul-smelling fluid, and tissue death in the toes of her right foot. and in the left ankle, “predicting it as serious”, carrying out the surgery to perform amputation on the 17th of that month.

When performing other surgeries and upon discharge from the hospital on October 28, 2018, the patient’s health status was described as acute kidney injury, temporary pacemaker placement, she still had skin type with purple spots on both legs, “so A second amputation was considered later, to see if there was brain damage due to the time of cardiac arrest, they performed a cranial computed tomography.”

She was discharged from the hospital on November 1, 2018, being transferred by ambulance to her home.

“On June 15, 2019, his left leg was amputated, removing part of it up to the calf.”

The CNDH also called for addressing the emotional health of the patient as an integral part of the right to health because “it should not be left aside, especially in the case that concerns us of a patient who resulted in the amputation of both legs.”

“This type of process for a young woman can be complex, presenting phantom pain, depression, anxiety, post-traumatic disorders, among others,” he said.

It was decided that they violated the young woman’s human right to health protection due to inadequate medical care and her right to sexual and reproductive health.

“She was an economically independent woman who lived in a house with her 2 children, had a job, planned to buy her own house through a loan in order to continue the relationship she had at that time, so after the sepsis that caused her to perform a hysterectomy and amputation of both legs, her life changed completely by having to adapt primarily to a permanent disability that limits her movement, directly affecting her autonomy.

“Currently her life is very different, despite having a pension from the IMSS, with it she does not cover the minimum vital needs for aspects such as health, food, housing, education and recreation, both for her and for her 2 children, which that has made her depend financially and on the care of V4, her grandmother and the
her partner, supporting her with housing”, described the CNDH.

Also read: Secretary of Health suggests returning “to God’s clock” and abolishing the time change


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