Histomorphological Spectrum of Lung Lesions in Medico- legal Autopsy in a Tertiary Care Centre

Authors

  • Siddaganga S M Department of Pathology. Gulbarga Institute of Medical sciences Kalaburagi. Karnataka
  • Rajashree J Ingin Department of Pathology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka
  • Manish K Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka
  • Deepak Suntoore Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

DOI:

https://doi.org/10.37506/ay23t042

Keywords:

Medicolegal, Lungs, Chronic venous congestion and tuberculosis.

Abstract

Background:

Organ specific pathological changes seen during autopsy give a clear idea of the cause of death.

Lungs are one of the most important vital organs in the human body. They are almost always involved in terminal events of cardiovascular diseases.Autopsy is important not only to know the state of lungs but also to study the morphology of various diseases.Various studies have demonstrated that,20-30% of sudden deaths are due to underlying pulmonary pathology.

Aims and objectives: The significance of this study is to highlight the spectrum of histomorphological features of lung lesions in medico-legal autopsies irrespective of cause of death.

Material and Methods:This was a retrospectivestudy Medico legal autopsies over a period of 5 years carried out in the Department of Pathology in coordination with the Department of Forensic Medicine, Gulbarga Institute of Medical Sciences. Standard protocols are used for gross and histopathology processing.

Results: After thorough histopathological examination, of total 100 cases, various lesions were identified in 93 cases, in 7 cases tissue was autolyzed. Majority cases seen in the age group of 20-40yrs with male predominance. The most common cause of death was Road Traffic Accident (RTA) and majority victims were males. The commonly observed pathological features congestion and oedema(44.4%), Pneumonia(26.8%),CVC(22.2%) tuberculosis(9.6%) and ARDS(6.6%).

Conclusion: The present study observed and documented histomorphological spectrum of lung lesions in medico-legal autopsies and highlighted various pathological conditions which are either direct or indirect cause of death.

This study emphasizes that spectrum of histopathological changes in lungs of autopsy cases irrespective of cause of death and highlights some incidental interesting findings in lungs.

 

Author Biographies

  • Siddaganga S M, Department of Pathology. Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

    Assistant Professor Department of Pathology. Gulbarga Institute of Medical sciences Kalaburagi.
    Karnataka

  • Rajashree J Ingin, Department of Pathology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

    Professor and HOD Department of Pathology, Gulbarga Institute of Medical sciences
    Kalaburagi. Karnataka

  • Manish K, Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

    Associate Professor Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

  • Deepak Suntoore, Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

    Assistant professor Department of Forensic medicine and Toxicology, Gulbarga Institute of Medical sciences Kalaburagi. Karnataka

References

Sulegaon R, Kulkarni D, Chulki S. Medico-legal autopsies- Interesting and incidental findings. Int J Forensic Sci Pathol. 2015;3(8):156-60.

Sarvaiya AN, Panjvani SI, Shah NR, Shah CK. Incidental and interesting histopathological findings in medico-legal autopsies. International Journal of Science and Research (IJSR). 2014;3(1):372-74.

Patel S, Rajalakshmi BR, Manjunath GV. Histopathologic Findings in autopsies with emphasis on interesting and incidental findings- a pathologist’s perspective. J Clin Diag Res. 2016;10(11):EC8-EC12

Gatzoulis MA. Pleura, lungs, trachea and bronchi. In: Standring S, editor. Grey’s Anatomy-The Anatomical Basis of Clinical Practice. 40th ed. Spain: Churchill Livingstone Elsevier; 2008. Pp. 989-1006.

Sindu V, Dhanalakshmi A. Histopathological Analysis of Lung In Sudden Natural Death. IOSR J Dent Med Sci 2016;15:(10):37-42.)

Zanjad NP, Nanadkar SD. Study of Sudden Unexpected Deaths in Medico-Legal Autopsies 2006; 28(December 2002):971–3

Selvam V, Selvi RT, Subramaniam PM, Vijayanath V. Prevalence of Common Disease in Lungs and Liver ; A Histopathological study Abstract : Introduction:Statistical Analysis Results: 2011;12(09):0–4.

Hanmante RD, Chavan YH, Mulay PS, Suvernakar SV, Deshpande SA. Histopathological patterns of Lung lesions in Autopsy cases. International Journal of Advances in Health Sciences 2014;1(1):15-9.

Todorović MS, Mitrović S, Aleksandrić B, Mladjenović N, Matejić S. Association of pulmonary histopathological findings with toxicological findings in forensic autopsies of illicit drug users. Vojnosanit Pregl 2011 Aug;68(8):639-42.

Pathak A, Mangal HM. Histopathological examination in medico – legal autopsy pros & cons. J Indian AcadForensic Med 2010;32(2):128-31.

Selvambigai G, Amudhavalli S, Deepak Chakravarthi CD, Ravi S. Histopathological [18] study of lung in autopsy cases: A prospective study. IJRMS. 2016;4(11):4816-19.

Nazish S, Prasad N, Sinha AK, Ansari MA. Histopathological study of lung and [21] liver in Autopsy cases in a tertiarycare hospital of Jharkhand. International Global Journal for Research Analysis. 2019;8(3):68-69.

Chauhan G, Agrawal M, Thakkar N, Parghi B. Spectrum of histopathological [9] lesions in lung autopsy. J Res Med Den Sci. 2015;3(2):109-12.

Kurawar RR, Vasaikar MS. Spectrum of histomorphological changes in lungs at autopsy: A 5 year study. Annals of Pathol Laborat Medic. 2017;4(1):A106-12.).

Garg M, Aggarwal AD, Singh S, Kataria SP. Tuberculous lesions at autopsy. J Indian Acad Forensic Med. 2011;33(2):116-19.

Mishra P, Ghosh AK, Jassar A. Autopsy findings in an atypical case of occult massive fatal pulmonary embolism in a backdrop of hyperhomocystenemia. Indian J Pathol Microbiol. 2018;61: 116-9.

Sachdev S, Pandit SP. Acute respiratory distress syndrome: an autopsy study. J Postgrad Med Edu Res. 2014;48(1):8-13

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Published

2024-04-27

How to Cite

Histomorphological Spectrum of Lung Lesions in Medico- legal Autopsy in a Tertiary Care Centre. (2024). Indian Journal of Forensic Medicine & Toxicology, 18(2), 141-148. https://doi.org/10.37506/ay23t042