I'm pretty sure she remained in Costa Rica but went to San José, the capital, for the surgery, instead of staying in the small surf town.
She murdered a woman for having lunch with her boyfriend. She would've torched the whole town with flamethrowers if they'd actually slept together. I really would like to know about her past history of jealousy. Or maybe she just had a psychotic break. She certainly was a persistent escape artist--that clip with her in the striped prison pants was like a Benny Hill skit.