1Post-graduate Resident, Department of Pathology, B. J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India
2Associate Professor, Department of Pathology, B. J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India
3Professor & Head, Department of Pathology, B. J. Medical College and Civil Hospital, Asarwa, Ahmedabad, Gujarat, India
*Corresponding author: Dr. Sonali P. Timaniya, Postgraduate Resident of Pathology, B. J. Medical College and Civil Hospital, Asarwa, Ahmedabad, 380016, Gujarat, India. sonalitimaniya92@gmail.com+919426038119, +7574895545
Online published on 6 April, 2019.
An autopsy is a magnificent learning tool in the hands of pathologists to study the histopathological spectrum of diseases which help to study the in situ disease process as well as rare incidental diagnosis. In certain cases where cause of deathis unknown, histopathological examination can give us opinion regarding cause of death. Liver is one of the vital organ and main site of metabolism, as a result it also becomes site for large number of diseases, of which most of them are symptomatic while few liver disease are diagnosed on autopsy. A large number of primary as well as secondary diseases involve liver. Aim of the study is to analyse various hepatic pathology in liver autopsy cases.
It is a Retrospective study of 200 cases of liver autopsy received during the period of six months in BJMC, Ahmedabad. Viscera of liver(as a whole or in pieces) were received along with its clinical details, suspected cause of death and post mortem findings. Gross and microscopic examination of liver tissue were performed in detail.
Most of the specimen having normal cut surface followed by greasy surface. The most common microscopic finding was congestion(46.5%) followed by fatty liver (26%), unremarkable pathology(8%), cirrhosis(6%), chronic passive venous congestion(5%), granulomatouslesions (3.5%), hepatitis(1.5%), malignancy(1.5%), hemangioma (0.5%). Most common age group affected was 31–40 years of age. Minimum age was 4 days and maximum was 90 years. Male accounting 65.5% while female only 34.5%
Silent diseases of the liver are not uncommon. Autopsy examination of liver is very helpful to identify silent liver diseases. Most common microscopic finding observed in present study was congestion followed by fatty liver with male predominance. Most common age group affected by fatty liver was 41–60 years.
Autopsy, Congestion, fatty liver, cirrhosis
