In February 2008, a woman underwent an elective hysterectomy at a Navy medical center. Not long after the procedure, she began to feel severe pain and discomfort in her abdomen, which was not an expected side effect of the procedure. She returned to the medical center several times, complaining of pain and pressure, but her symptoms were neither seriously investigated nor treated. In July 2009, more than one year after she had been experiencing pain, an emergency room doctor finally ordered a CT scan. The scan showed a foreign object in the woman's pelvis, which was later found to be a piece of a medical instrument used during the hysterectomy.