Paulsen v. Avera McKennan

2025 S.D. 37
CourtSouth Dakota Supreme Court
DecidedJuly 16, 2025
Docket30761
StatusPublished

This text of 2025 S.D. 37 (Paulsen v. Avera McKennan) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Paulsen v. Avera McKennan, 2025 S.D. 37 (S.D. 2025).

Opinion

#30761-a-SPM 2025 S.D. 37

IN THE SUPREME COURT OF THE STATE OF SOUTH DAKOTA

****

JESSICA PAULSEN, Plaintiff and Appellant,

v.

AVERA MCKENNAN, AMBER SALOUM, MD, and DOES 1–30, Defendants and Appellees.

APPEAL FROM THE CIRCUIT COURT OF THE SECOND JUDICIAL CIRCUIT MINNEHAHA COUNTY, SOUTH DAKOTA

THE HONORABLE DOUGLAS E. HOFFMAN Judge

MICHAEL D. SHARP Emery, South Dakota Attorney for plaintiff and appellant.

ROGER A. SUDBECK MATTHEW D. MURPHY of Boyce Law Firm Sioux Falls, South Dakota Attorneys for defendants and appellees.

CONSIDERED ON BRIEFS MARCH 24, 2025 OPINION FILED 07/16/25 #30761

MYREN, Justice

[¶1.] Jessica Paulsen had severe bleeding after giving birth. On December

14, 2021, Dr. Amber Saloum and the staff at the Avera McKennan Hospital

performed a hysterectomy and another surgery to stop Paulsen’s bleeding. On

December 15, 2023, Paulsen commenced a lawsuit against Avera McKennan, Dr.

Saloum, and several unnamed parties (the Defendants), alleging that she did not

consent to a hysterectomy. The Defendants filed a motion for summary judgment,

claiming Paulsen’s cause of action was barred by the two-year repose period

prescribed by SDCL 15-2-14.1. The circuit court granted the Defendants’ motion

and Paulsen appeals. We affirm.

Factual and Procedural Background

[¶2.] Paulsen had severe bleeding after she gave birth on December 13,

2021, at the Avera McKennan Hospital in Sioux Falls. In response, Dr. Saloum

performed a bedside physical examination and ultrasound. Dr. Saloum became

concerned that Paulsen had a ruptured uterine artery or uterus. A computed

tomography (CT) scan revealed a “prominent hemorrhage,” and the medical staff

suspected that Paulsen had a uterine rupture.

[¶3.] Dr. Saloum updated Paulsen regarding her condition late in the

evening on December 13, 2021. According to Dr. Saloum, she also discussed and

obtained informed consent from Paulsen to perform an “exploratory laparotomy,

repair of [Paulsen’s] uterus, evacuation of hematoma, and possible hysterectomy.”

Paulsen insists that she did not consent to a possible hysterectomy.

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[¶4.] In the early morning hours of December 14, 2021, Dr. Saloum began

an exploratory laparotomy and “quickly determined the uterus had ruptured and

that uterine tears were present in two different locations” and that a “uterine repair

was not feasible and [a] hysterectomy was completed.”

[¶5.] Paulsen continued to bleed after the hysterectomy was completed and

underwent a second surgery in the early morning hours of December 14, 2021, “to

explore a suspected intraabdominal hemorrhage.” Following this second surgery,

Paulsen’s bleeding stopped.

[¶6.] During Paulsen’s first surgical procedure, an assisting physician

placed “a surgical suction drain” known as a “JP drain.” In an affidavit, Dr. Saloum

explained that this drain “helps with recovery and avoiding infection” and that it

would have been placed even if they had not performed a hysterectomy. The JP

drain was removed prior to Paulsen’s discharge from the hospital on December 18,

2021.

[¶7.] Paulsen’s complaint alleged seven causes of action against the

Defendants, including negligence, medical malpractice, breach of fiduciary duty,

medical battery, respondeat superior, negligent retention, and fraud. The factual

thrust of the complaint is as follows:

14. On or about December 13, 2021 Plaintiff, who was pregnant at the time, went to the business of the Defendant, Avera McKennan for the purpose of child delivery.

15. Defendant Saloum desired to perform a hysterectomy.

16. Plaintiff relayed to the employee of Avera McKennan that she had no desire to have a hysterectomy.

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17. Defendant Saloum later approached Plaintiff and asked if she wanted more children. Plaintiff responded that she did want to have more children and did not want to have a hysterectomy.

18. Defendant Saloum walked away without response to Plaintiff’s instruction.

19. Defendant Saloum undertook the undesired hysterectomy, despite Plaintiff’s instruction to the contrary.

20. Postoperatively, Plaintiff suffered critical complications.

21. Defendant Saloum requested a second surgeon to correct her errors.

22. When the second surgeon proceeded to open the sutures previously done by Defendant Saloum, blood “poure[d] out” of the Plaintiff.

23. Other personnel reported discussion of how many children Plaintiff already had at the operating table as to Defendant Saloum’s decision to give Plaintiff the hysterectomy against Plaintiff’s instruction.

[¶8.] The Defendants answered and asserted that Paulsen’s claims were

barred by the statute of repose in SDCL 15-2-14.1. At a scheduling hearing, the

Defendants announced their intention to move for summary judgment on their

statute of repose affirmative defense. The circuit court set a hearing for the

Defendants’ anticipated summary judgment motion for June 11, 2024. As expressed

at the scheduling hearing, the Defendants filed a motion for summary judgment on

their statute of repose affirmative defense. Paulsen filed the necessary responses.

[¶9.] According to the Defendants’ counsel, following the scheduling hearing,

Paulsen’s counsel “served voluminous discovery requests upon Avera McKennan

and Dr. Saloum.” The Defendants argued that it made little sense to expend time

and resources responding to the Plaintiff’s discovery before the circuit court could -3- #30761

resolve their summary judgment motion. However, Paulsen viewed this discovery

as essential to her ability to defend against the Defendants’ motion. The

Defendants filed a motion for a protective order requesting the circuit court to hold

Paulsen’s discovery requests “in abeyance” until it could rule on their summary

judgment motion. The circuit court did not resolve the protective order motion

before the summary judgment hearing, and the Defendants did not respond to

Paulsen’s discovery requests before the hearing. Paulsen did not file any motions to

compel the discovery.

[¶10.] At the hearing on the Defendants’ summary judgment motion, the

parties disagreed about when the repose period began to run and when Paulsen

commenced her lawsuit. The circuit court concluded the statute of repose barred

Paulsen’s suit. Paulsen appeals. For the purpose of their appellate argument, the

Defendants accept Paulsen’s position that the two-year repose period began to run

on December 15, 2021, and that Paulsen commenced her lawsuit on December 15,

2023.

Decision

Whether the circuit court erred when it granted the Defendants’ motion for summary judgment on their statute of repose affirmative defense.

[¶11.] This Court reviews “a circuit court’s entry of summary judgment under

the de novo standard of review.” Ries v. JM Custom Homes, LLC, 2022 S.D. 52,

¶ 14, 980 N.W.2d 217, 222 (citation omitted). Under the de novo standard of review,

“no deference is given to the decision of the [circuit] court.” Estate of Zoss v. S.D.

Dep’t of Revenue, 2001 S.D. 124, ¶ 6, 635 N.W.2d 553, 554 (citation omitted).

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Bluebook (online)
2025 S.D. 37, Counsel Stack Legal Research, https://law.counselstack.com/opinion/paulsen-v-avera-mckennan-sd-2025.