An Autopsy Study of Liver Injuries and Trauma

Abdominal trauma usually occurs due to Road accidents, fall from height, Results of a homicidal act-by kicking or by fisting, during sports and only extremely rarely it is the lap seat belt. The structures most likely to be damaged in blunt abdominal trauma in order of frequency are: liver, spleen, kidney, intestines, abdominal wall, mesentery, pancreas and diaphragm.

1. To study the prevalence liver injuries in relation to various factors viz., epidemiological factors, socio-economic status, penetrating/non-penetrating injuries, time of occurrence etc.

To identify the risk, so as to facilitate the early diagnosis of trauma by the clinicians.

To study the relationship between severity of the injuries and survival period

Materials for the present study were collected from the medico legal autopsies, showing abdominal injuries, carried out at the mortuary of Victoria hospital and Bowring and Lady Curzon hospitals, attached to Bangalore medical college & research institute, Bengaluru during the period from 1^st November 2012 to 31^st October 2014 for a period of 24 month. The total numbers of cases studied were 100. All the autopsies showing abdominal trauma were included in the study

Out of the 100 cases of studied, the commonest age group of the victims was 30–39 years (32%) followed by the age group of 20–29 yrs (29%). 44 cases were brought dead. Men were more involved than women with a ratio of 9: 1.

The initial management of liver trauma generally follows the same procedures for all traumas with a focus on maintaining airway, breathing, and circulation. A physical examination is a corner stone of the assessment of which there are various non-invasive means of diagnostic tools that can be utilized