A Florida surgeon now faces criminal prosecution after allegedly removing a patient’s liver instead of his spleen, then attempting to cover up the fatal mistake as the man bled to death on the operating table.
Story Snapshot
- Dr. Thomas Shaknovsky indicted for second-degree manslaughter after removing 70-year-old William Bryan’s liver instead of spleen during August 2024 surgery
- Bryan died immediately from catastrophic blood loss; surgeon allegedly insisted removed organ was spleen and directed staff to mislabel it
- Shaknovsky had previously removed wrong organ in 2023, excising pancreas instead of adrenal gland, causing permanent patient harm
- Florida suspended his medical license citing “repeated egregious surgical errors”; Alabama moved to revoke license before voluntary surrender
- Grand jury arrested surgeon April 14, 2026, after finding actions constituted criminal conduct; faces up to 15 years if convicted
When Vacation Turns Fatal
William Bryan and his wife Beverly traveled from Muscle Shoals, Alabama, to Florida’s Emerald Coast for what should have been a relaxing getaway. Instead, on August 18, 2024, Bryan experienced severe left-side pain and sought treatment at Ascension Sacred Heart Emerald Coast Hospital in Miramar Beach. He became Dr. Thomas Shaknovsky’s patient. Three days later, during what was supposed to be a routine laparoscopic splenectomy, Bryan died on the operating table after Shaknovsky allegedly removed his liver instead of his spleen, triggering massive hemorrhaging and cardiac arrest.
The Florida Department of Health documents reveal fellow physicians expressed early reservations about the scheduled splenectomy. Those concerns proved tragically prescient. According to investigators, when Bryan’s condition deteriorated during the procedure and he went into cardiac arrest, Shaknovsky removed what he claimed was the spleen. Hospital chaos erupted as blood loss mounted, yet the surgeon allegedly insisted the organ he had extracted was indeed the spleen and directed medical staff to label it accordingly. The organ was, in fact, Bryan’s liver.
A Pattern of Catastrophic Errors
Shaknovsky’s alleged cover-up during Bryan’s surgery might have succeeded if not for one damning detail: this was not his first wrong-organ removal. In May 2023, just over a year before Bryan’s death, Shaknovsky removed part of another patient’s pancreas instead of an adrenal gland. When confronted, he claimed the organ had “migrated,” an explanation that defied anatomical reality and caused the patient permanent harm. Florida health regulators cited these “repeated egregious surgical errors” and Shaknovsky’s failure to accept responsibility as evidence he posed an ongoing danger to public safety.
The Florida Department of Health suspended Shaknovsky’s medical license following Bryan’s death, describing the liver removal as a “grievous medical error” demonstrating “reckless conduct likely to continue.” Alabama regulators simultaneously moved to revoke his license in that state, though Shaknovsky voluntarily surrendered it before formal revocation proceedings concluded. The convergence of multiple state medical boards taking action underscores the severity regulators assigned to his repeated failures. These weren’t close calls or judgment errors in ambiguous situations; these were fundamental misidentifications of major organs with catastrophic consequences.
Criminal Charges Rarely Follow Surgical Errors
Medical malpractice typically remains confined to civil courts, where families seek damages and physicians face financial consequences but not incarceration. The decision by a Walton County grand jury to indict Shaknovsky for second-degree manslaughter signals prosecutors believe his actions crossed from negligence into criminal culpability. The charge carries up to 15 years imprisonment. Walton County Sheriff Michael Adkinson emphasized his office’s commitment to following facts impartially, stating investigators pursued the evidence “without fear or favor.” The Office of the State Attorney for Florida’s First Judicial Circuit announced the indictment on April 14, 2026, and Shaknovsky was arrested that same day.
The distinction matters enormously. Charging a physician criminally for surgical outcomes sets a precedent that could reshape medical accountability. Prosecutors apparently concluded the combination of removing a vital organ, the patient’s immediate death, the alleged insistence on mislabeling evidence, and the prior wrong-organ removal constituted conduct so reckless it warranted criminal sanction. Grand jury proceedings are secretive, but the indictment’s language noting actions “constituted criminal conduct under Florida law” suggests jurors heard evidence of behavior beyond mere incompetence. The alleged directive to label the liver as a spleen, if proven, transforms error into potential obstruction.
Florida doctor charged after allegedly removing wrong organ during surgery https://t.co/RP9KMX51CA
— ConservativeLibrarian (@ConserLibrarian) April 14, 2026
Shaknovsky remains held in Walton County Jail with no attorney listed in court records. No trial date has been set. His medical career, already ended by license suspensions, now faces replacement by criminal proceedings that could result in years behind bars. For Beverly Bryan, the widow who watched her husband seek simple pain relief and never return home, the criminal charges offer a form of accountability civil lawsuits cannot provide. The case forces uncomfortable questions about how many errors constitute a pattern, when negligence becomes recklessness, and whether the medical profession’s self-policing mechanisms failed until a man died needlessly far from home.
Sources:
Florida Doctor Charged After Allegedly Removing Wrong Organ During Surgery
Florida doctor faces manslaughter charge for allegedly removing wrong organ during surgery
Florida doctor charged after allegedly removing wrong organ during surgery
Florida doctor faces manslaughter charge for allegedly removing wrong organ during surgery
Florida doctor indicted after wrong organ removed in fatal operation
Florida doctor charged in wrong organ surgery arrest



