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de Vries EN, Eikens-Jansen MP, Hamersma AM, et al. Ann Surg. 2011;253:624-8.
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Trusting an incorrectly labeled chest x-ray over physical exam findings, a resident places a chest tube for pneumothorax in the wrong side.
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During a hernia repair, surgeons decide to remove a patient's hydrocele, spermatic cord, and left testiclewithout realizing that his right testicle had been removed previously.
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A patient dies from infection and complications months after surgery; a retained sponge is found at autopsy.
