Abstract
During an urgent aneurysmectomy to treat impending rupture in an 86-year-old man, C. Atlas, a medical student, applied too much pressure when retracting the bowel, or the retractor was improperly padded, which created a 4-cm tear in the splenic hilum. The repair was complex but was completed satisfactorily, and the spleen was salvaged. The patient's elderly wife is very upset by her husband's sudden illness. Among their adult children, one is a dermatologist and another is an attorney. Which is the best course of action to take?.
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