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A&E misdiagnosis highlighted by fatal case

A 52-year-old man died after an aortic dissection was not diagnosed at first visit to A&E. A review is underway.

August 21, 2025 at 02:17 PM
blur My David, 52, died days after A&E sent him home with Gaviscon - he had little-known condition that strikes out the blue

A partner describes a sudden death after a misdiagnosis at A&E, underscoring the risk of aortic dissection and the need for greater awareness.

Misdiagnosis at A&E Highlights Aortic Dissection Risk

David Burgess, 52, a legal recruitment consultant, began suffering severe stomach and back pain in late April. He went to Wythenshawe Hospital’s A&E, where doctors diagnosed gastritis and advised rest and Gaviscon. His condition did not improve, and he returned on May 1 for further tests. He was later found to have an aortic dissection, a tear in the aorta that can rapidly become life threatening.

Key Takeaways

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Missed early diagnosis can cost lives in emergency care
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Aortic dissection can mimic gastric problems in initial symptoms
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Timely imaging and careful triage are crucial
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Hospitals may initiate care reviews after tragedy
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Public awareness can drive earlier medical seeking and diagnosis
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Health systems face pressure that can affect diagnostic accuracy
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Families may pursue legal routes to seek accountability and push reform

"It was absolutely horrific, just completely out of nowhere."

Sandra O’Hagan on the moment the illness worsened

"Why did we trust the doctors?"

Sandra on the initial discharge

"Aortic dissection seems to be flying under the radar"

Sandra calling for broader awareness

"The surgeon said he had a torn aorta and half the cases where this happens, the people die straight away"

Surgeon describing the risk in these injuries

The case raises questions about how emergency departments identify serious vascular problems when symptoms look non specific. It highlights the pressure on busy A&Es and the risk of a missed diagnosis when early signs are misread as common tummy issues. It also shows how families react when care falls short and how hospitals respond with reviews and accountability. The wider issue is public awareness: awareness can lead to quicker checks and better outcomes for patients with rare but deadly conditions.

Highlights

  • Trust in the triage room should not cost a life
  • Not every abdominal pain is gastritis
  • Aortic dissection remains under the radar
  • We deserve timely checks and clear communication

Missed diagnosis at emergency department risks patient safety and public trust

The case raises concerns about diagnostic accuracy under pressure in A&E settings, potential ethical and legal repercussions, and the need for stronger awareness and training about aortic dissection.

The road to safer care lies in faster recognition and broader understanding of risky conditions.

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