ABSTRACT
Background: microscopic colitis [MC] which includes two distinct but probably related entities namely collagenous colitis [CC] and lymphocytic colitis [LC] is characterized by chronic watery/secretary diarrhea and normal/near normal endoscopic and radiological appearance of colon. The purpose of this study was to determine the rate of MC in our patients who seek medical advice because of chronic watery diarrhea and found to have either normal colonic mucosa on endoscopy show minimal nonspecific changes
Material and Methods: a retrospective study on consecutive-colonie-bi0psies-comingJ0Jndus Lab, Lahore for analysis
Results: we reviewed one hundred colonic biopsies and found seven cases of MC, four showed features of LC and three had CC. The two out of four cases of LC were associated with celiac disease. The age distribution was 24 to 65 years. Out of four patients of LC three were female and one male whilst CC was found in one female and two male patients. The two patients of MC associated with celiac disease also complained of failure to thrive/weight loss. One patient with CC had mild abdominal discomfort in addition to chronic watery diarrhea. There was no history of long term use of non-steroidal anti-inflammatory drugs [NSAIDs] in any of our patients
Conclusion: MC is a relatively rare but important cause of chronic watery diarrhea and all patients should have multiple endoscopic biopsies taken from different parts of "normal" looking colon to rule out the possibility of MC
ABSTRACT
Objective: To study the age group and gender of the victims as well as cause and manner of death in forensic autopsies
Material and Methods: This retrospective, descriptive, non interventional and observational study was conducted at department of Forensic Medicine, Punjab Medical College, Faisalabad. Period was 01-01-2007 to 31-12-2007. 278 cases of forensic interest brought for autopsy to the postmortem unit of department of Forensic Medicine from different police stations of Faisalabad city and Sadar divisions were included in the study. Data regarding age, sex, cause and manner of death of the victims was tabulated and analyzed
Results: The most common age group of the victims was 2029 years [29.1 %]followed by 30-39 years [28.0%]. Majority of the victims were male [78.4%]. Predominant manner of death was homicidal [79.4%]. The commonest cause of death was firearm injuries [53.2%] followed by sharp force injuries [10.1%]
Conclusion: Very high percentage of homicidal deaths and use of firearm weapons in majority of the deaths is an alarming situation for law enforcement agencies. Strict control over the possession of firearm weapons may improve the existing situation