A Study of Morphology and Histopathology of Ligature Marks in Asphyxial Deaths by Compression of Neck in Jodhpur Region, Rajasthan
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 6
Abstract
Introduction: The ligature mark is vital piece of evidence in asphyxia deaths. There has been extensive study about external appearance of asphyxia deaths due to hanging and ligature strangulation but histopathological study of the neck structures in these cases are very few. In this study an attempt has been made to establish the most reliable morphological and histopathological features for differentiating the pattern of ligature mark in cases of asphyxial deaths. Materials and Methods: Hospital based observational study was carried out at a tertiary care teaching hospital of western Rajasthan over a period of one year. Total 104 cases of hanging and strangulation were taken for study. Details about morphological findings of ligature mark were noted and tissue section including samples of skin, subcutaneous tissue, muscles, thyrohyoid complex and cervical lymph nodes from neck beneath the ligature mark were dissected out and sent in 10% formalin for histopathological examination. Results: Common morphological findings of ligature mark in hanging were single (91%), atypical (89%), discontinuity of ligature mark (98%), incomplete encirclement (98%), oblique mark (100%), Parchmentisation (56%), Reddish-browncolour (23%), pale (21%) while in ligature strangulation these were single (50%), multiple (50%), discontinuity of ligature mark (25%), complete encirclement (75%), transverse (75%), Parchmentisation (50%), Reddish-browncolour (50%), extravasation of blood (100%). Common histopathological findings of ligature mark in hanging were abraded epidermis (38%), dermal congestion (48%), muscle hemorrhage (37%), muscle necrosis (7%), muscle autolysis (9%), perifollicular congestion (23%), perifollicular hemorrhage (7%), congestion of lymph node (21%)while in ligature strangulation these were dermal hemorrhage (75%), dermal congestion (25%), muscle hemorrhage (75%) muscle necrosis (25%), perifollicular hemorrhage (75%) and congestion of lymph node (100%). Conclusion: The present study concluded that a detailed evaluation of the gross and histopathological findings of the ligature mark, if undertaken would be more conclusive in establishing the cause and manner of death to aid in the administration of justice
Authors and Affiliations
Dr Navneet Sharma
Keywords
Related Articles
- EP ID EP545835
- DOI -
- Views 123
- Downloads 0
Prospective follow up study of idiopathic dilated cardiomyopathy in 112 patients at a tertiary care Hospital
Introduction: Idiopathic dilated cardiomyopathy is a mostly progressive irriversible disease with high global burden. A large number of cardiac and systemic diseases can cause systolic impairment and left ventricular dil...
Usefulness of Ultrasound in Characterization of Focal Hepatic Lesions
Introduction: The aim of this study was to analyze the ultrasound features favoring malignancy in the evaluation of focal liver lesions, to study the imaging spectrum of such lesions, and to correlate the ultrasound find...
Spectrum of Colorectal Cancers in a Tertiary Care Centre-A ClinicoPathological Correlation
Introduction: Large intestine is affected by various types of lesions, both non-neoplastic and neoplastic. Due to vague symptoms, the clinical diagnosis is usually delayed. Colorectal cancer is the third leading cancer w...
A Comparative Study of Assessment of Different Parameters for Assessing Severity of Acute Pancreatitis
Introduction: The need for assessing the severity of acute pancreatitis is because the management and prognosis are mainly decided by the severity of the disease. A parameter with high positive predictive value and accur...
A Study on Diversity of Malignant Breast Lesions in Urban Population of Bengal – Two Year Experience in A Tertiary Care Centre
Background: Breast cancer is the leading cancer affecting females of urban India. In recent times the multidisciplinary approach to this cancer has given us new insights about its biology. New modalities of treatment and...