In four medical malpractice cases between 1997 and 2007, Connecticut judges sanctioned top defense lawyer Madonna Sacco for behavior that violated the Practice Book rules for discovery. Now there’s a fifth case, and it’s a doozy.

Hartford Superior Court Judge Robert B. Shapiro has taken the rare step of finding that Sacco violated not just court discovery orders and rules of practice, but also four parts of the Rules of Professional Conduct, the bible of legal ethics.