Transplant patient, 27, died after biopsy
A BELOVED son and boyfriend died after a routine hospital procedure to help prepare him for an urgent double transplant, an inquest heard.
James Aaron Warrington, 27, was born with a liver disease called biliary atresia and underwent a liver transplant when he was seven, the hearing at Macclesfield Town Hall was told.
But the transplant later began to fail and he began to develop health problems. The court heard James was being assessed for a lung and kidney transplant when he contracted a spine infection, preventing the operation from going ahead. But four days after a routine biopsy to help doctors clear the infection, he suffered internal bleeding and died.
The inquest heard that James, of Swanscoe Avenue, Bollington, would give himself dialysis at home and was hoping to be put on the waiting list for a transplant.
When antibiotics failed to shift an infection a biopsy was carried out at Salford Royal Hospital on Tuesday, March 25.
This meant taking a sample of tissue for analysis to determine which antibiotics would clear up his infection.
But after the biopsy James, who was a fabric printer at RA Smart in Bollington, suffered internal bleeding.
The inquest heard he became increasingly unwell and in the early hours of Saturday, March 29, he collapsed at home and was taken to Macclesfield Hospital.
Efforts to save him failed and he was pronounced dead.
His girlfriend Kelly Farnell told the inquest he’d had biopsies before and knew what it entailed.
She said: “After the biopsy he started to have really bad pain. On Friday he slept most of the day. He was still in pain and seemed drowsy.
“James woke me up at 1am and said he needed to go to the toilet. He said he felt dizzy. couldn’t get him up the stairs, then that was it.”
Coroner Dr Janet Napier said James died due to a haemorrhage after a biopsy. She said other health problems including his failing liver transplant contributed to his death.
Dr Napier said: “James died due to complications following a necessary surgical procedure in conjunction with natural diseases. It’s terribly sad at such a tender age.
““Unfortunately his liver and kidney failed and he was going for a transplant. We have heard about the infection in his spine was very hard to treat.
“The time clock was ticking for the transplant and it was urgent. They needed to know how to tailor his treatment.
“No-one expected this to happen. He wasn’t comfortable after the biopsy but didn’t think it was an internal bleed. He wasn’t someone who complained for no reason. It’s very tragic and
Inothing could be done in time.”
The inquest heard James had dialysis the day before the biopsy and then again two days after the procedure. James’s mum Clare Ledgar, who attended the inquest with James’ dad Paul and sister Mollie, told the inquest he was not given any after-care advice after the biopsy.
Miss Farnell asked why he was not given advice on using heparin – a blood thinning drug used with kidney dialysis – after the procedure.
Doctors from Salford Royal said patients can usually carry out dialysis the day after a biopsy and it was ‘extremely rare’ to suffer internal bleeding.
They said there were no signs of internal bleeding during the biopsy and James was advised to come back if the swelling and pain didn’t get any better.
After the hearing Mrs Ledgar said: “James had a wicked sense of humour and always made everyone laugh.
“He loved five-a-side football and had a passion for motorbikes. Even with everything he went through, he never winged.
was so proud of him.”
●● James Warrington