Irene Magriplis died of sepsis caused by bile leaking into her abdomen after elective surgery at the Darwin Private Hospital. The surgery was to remove a growth adjacent to her bile duct. At the time, Mr Treacy, the surgeon was of the opinion that this elective surgery was necessary. He now concedes it was not. There were many points at which the bile leak should have been addressed. It was not She should not have died In my view her death was preventable