Title: Renal parenchyma have most common Incidental histopathological finding of medicolegal post mortem autopsy Study

Authors: Dr Shailendra Singh Thakur, Dr C.V.Kulkarni

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.171

Abstract

Objective & Aims: 1.Identify undiagnosed   histopathology changes in autopsy medicolegal cases. 2. useful in cases of undiagnosed cases or suspected cases to confirm the diagnosis in postmortem finding. 3. There is involvement of in various organs due to cystic, dysplastic and neoplastic conditions along with end events. 4. The aim of this study was to determine the spectrum of histopathological findings including any type lesions related or unrelated to the cause of death. It was also aimed to highlight various incidental and interesting lesions in autopsies

The present study was done to find spectrum of various lesions by histopathological examination autopsy tissues.

Material and Methods: A retrospective descriptive study of medicolegal autopsies for Four years from 2013-2017 was conducted in the Department of Pathology, MGM Medical College with M.Y.H attached tertiary care center. A total number of 120 cases shows incidental histopathological significant finding. The organs relevant to the case concerned were sent in 10% formalin. In most of the cases they comprised of heart, liver, spleen, kidneys, brain and lungs. Representative bits from the concerned organs were processed in a routine manner. All sections were stained with Haematoxylin and Eosin (H & E) stain and special stains were used, as and when required. Gross and histopathologic findings were noted and the salient features were studied.

Results: Among the 120 cases, 54 cases shows renal Tubler congestion, 49 cases shows Cystic lesion. 05 cases shows renal stones 02 cases shows  tuberculosis,  05 cases shows  Pylonephritis, 3% shows PUJ obstractions and 02 cases shows renal dysplasia.. Among all cases 66 were males and 54 were females.

Conclusion: Histopathology examination of autopsy tissue is useful for evaluation of underlying undiagnosed renal pathology. The common finds were congestion but nonspecific and Renal tissue cystic pathology is most common incidental histopathological finding in postmortem autopsy Department of Pathology, MGM Medical College with M.Y.H attached tertiary care center.

Keywords: Autopsy, Histopathology.

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