Dr. Thomas Shaknovsky, 44, was indicted on a second-degree manslaughter charge by a grand jury in Walton County, Florida, on Monday, April 13, according to the county sheriff’s office and the Office of the State Attorney for the First Judicial Circuit. He was arrested on the morning of April 13 and later released on a $75,000 bond, online inmate records show.

In a news release, the Walton County Sheriff’s Office said the grand jury indictment connected Shaknovsky to the “operating room death of an Alabama man.” William Bryan, of Muscle Shoals, Alabama, and his wife, Beverly, were visiting their rental property in Okaloosa County when William Bryan suddenly began experiencing left-sided flank pain, according to the family’s attorney.

They went to Ascension Sacred Heart Emerald Coast Hospital in Walton County, and he was admitted for further studies pursuant to concern for an abnormality of the spleen. The sheriff’s office said Shaknovsky had removed William Bryan’s liver instead of his spleen during what was scheduled to be a laparoscopic splenectomy, “resulting in catastrophic blood loss and the patient’s death on the operating table.”

The grand jury indictment follows an extensive investigation conducted by the sheriff’s office, the Office of the State Attorney for the First Judicial Circuit, and other state and medical authorities, according to the news release. The sheriff’s office said the jury found probable cause to “charge that the actions taken in the operating room constituted criminal conduct” under state law.

“Our duty is to follow the facts wherever they lead, without fear or favor,” Walton County Sheriff Michael Adkinson said in a statement. “The Grand Jury has spoken, and our responsibility is to ensure the charges are carried out through the proper legal process. Our thoughts remain with the victim’s family and their unspeakable loss.”

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Medical examiner found spleen still in William Bryan’s body during autopsy

A Pensacola law firm, Zarzaur Law P.A., is pursuing a civil lawsuit on behalf of William Bryan’s family, citing wrongful death, medical malpractice, and personal injury.

William Bryan began suffering “severe abdominal pain” while on vacation with his wife in August 2024, according to Joe Zarzaur, the Bryan family’s attorney. Shaknovsky, who was a surgeon at Ascension Sacred Heart Emerald Coast Hospital at the time, had diagnosed William Bryan with hemoperitoneum and splenic injury, or bleeding of the spleen, an operative report states.

William Bryan initially elected to hold off on surgery until they got back to their home in Alabama, but Beverly Bryan said Shaknovsky told her husband would bleed to death if he traveled in his condition, according to Zarzaur. Shaknovsky performed the procedure after discussing the “risks, benefits and alternatives” with the couple, the operative report states.

During the procedure on Aug. 21, 2024, William Bryan died from massive blood loss after the removal of the “large” spleen, according to the operative report. After the procedure, a pathologist realized the removed organ labeled “spleen” was actually liver tissue, Zarzaur said.

Once an autopsy was done, the medical examiner determined William Bryan’s liver had been removed, and his spleen was still in his body with a cyst attached to it, according to Zarzaur.

“The spleen had a small cyst on it that had some hemorrhage around it, but it was not a fatal issue,” Zarzaur said. “It was a fairly routine-looking cyst. It probably would have been very treatable.”

He had surgery to remove his appendix. Doctors mistakenly took out much more, lawsuit says.

Thomas Shaknovsky involved in 2023 surgical mishap

In September 2024, the Florida Surgeon General Joseph Ladapo ordered an emergency suspension of Shaknovsky’s license. Ladapo had cited William Bryan’s death and a prior incident in 2023, in which Shaknovsky removed a portion of a different patient’s pancreas instead of the adrenal gland and purportedly claimed the adrenal gland had “migrated” to a different part of the body.

The 2023 case was settled, and no lawsuit was filed against the surgeon or Ascension Sacred Heart Emerald Coast Hospital, according to Zarzaur. State records show that Shaknovsky paid $400,000 in 2024 to settle a medical malpractice claim.

“That one got swept under the rug,” Zarzaur said at a news conference in September 2024 while announcing the case. “Here we are in a case after that.”

The Florida Department of Health lists Shaknovsky’s current medical license status as “retired.” The department defines retired status as the licensed practitioner “not practicing in the state of Florida, but maintains a retired license status.”

“The licensed practitioner is not authorized to practice in the state of Florida,” according to the state health department. “The practitioner is not obligated to update his/her profile data.”

Contributing: Jonathan Limehouse, USA TODAY