An Autopsy Study of Liver Injuries in a Tertiary Referral Centre of Eastern Nepal
Background: Liver is the largest gland in the body and it frequently gets wounded. The objective of this study was to determine the patterns, types and severities of liver injuries which were caused by mechanical trauma and to study the organs associated with liver injuries. Material and Method...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2013-08-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/3220/44-%205913_PF1(M)_E(C)_F(T)_F1(V)_F1(T)_PFA(PR)_PF3_(PUH)_B.pdf |
| Summary: | Background: Liver is the largest gland in the body and it frequently
gets wounded. The objective of this study was to determine the
patterns, types and severities of liver injuries which were caused
by mechanical trauma and to study the organs associated with
liver injuries.
Material and Methods: This was a hospital based, cross
sectional study which was conducted on the autopsies showing
the evidence of liver injuries in the mortuary of a tertiary hospital
in eastern Nepal. All consecutive autopsy cases which were
handled within one year’s time (n=46) were included in our
study. The cases were studied in detail for liver injuries, which
included age, sex, severity, associated injuries, site of the injury,
description of the injury, etc.
Results: The mean age of the victims was 33.87 years and there
was a male: female ratio of 3.6:1. The injuries had resulted from
blunt trauma in 41 (89.1%) cases, the most common of which
was road traffic accidents, constituting 37(80.4%) cases. Grade
III injuries were seen in 14 (30.4%) cases. Laceration of the liver
was the most frequent finding that was evident in 34 (73.9%)
cases. Right lobe of the liver was injured in 30 (74%) cases. The
sole presence of liver injuries among abdomino-pelvic organs
was seen in 14 (30.4%) cases. In 40 (87%) cases, liver injuries
were associated with other regional injuries.
Conclusion: Laceration is the most common liver injury among
autopsy cases. Right lobe is mostly affected and grade III
injuries are the most common ones. Liver injuries are frequently
associated with other abdomino-pelvic organs and multiple
regional injuries. |
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| ISSN: | 2249-782X 0973-709X |