A Study On The Morphological Variations Of The Human Liver And Its Clinical Implications In Gujarat Region

Background:liver is a soft, friable and largest gland in the body, occupying the upper part of the abdominal cavity just beneath the right diaphragm. The greater part of it is situated under cover of the ribs, extending to the left to reach the left diaphragm. Objective: to determine gross anatomical variations of liver and their clinical and surgical implications. To study variations in lobes, fissures and accessory lobes were observed. Material And Methods:a total of 50 formalin-fixed adult human livers, irrespective of the sex, were studied over a period of three years from Dr M K shah medical college. These livers were specifically observed for any variant or anomalous surface morphology. Result:out of 50 specimens, 16 were considered normal without any ac-accessory fissures, lobes, or presence of a pones hepatis. 34 livers had one or more morphological variations.14 liver has accessory fissure, 10 liver are present with riedel’s lobe present in liver, 10 liver are present with pons hepatic. Conclusion:liver being the largest abdominal organ, the knowledge of its normal and variant morphology is essential for the clinicians. In general, accessory hepatic fissures/sulci are potential sources of diagnostic errors during imaging. On ultrasound or computerized tomography, any collection of fluid in these fissures may be mistaken for a liver cyst, intrahepatic hematoma, or liver abscess, which would require further radiologic workup.

Profile of fatal poisoning in and around Jamnagar.

The paper presents the study of 132 cases of poisoning received in the Dept of forensic Medicine M.P. Shah Medical College, Jamnagar for post-mortem examination (PME) during the span of one year. Out of 826 PME done during the study period 132 (15.98 %) cases were that of poisoning. The cases were then analysed on various epidemiological parameters feeding the information in the proforma prepared for this purpose. We concluded that majority of victims were married, Hindu, males from rural area and low socio economic group. Majority of victims died within 1-6 hours of consumption of poison. Suicidal cases were for more commoner than accidental one. No case of homicidal poisoning was detected in present study. Chemical analysis of viscera was done in 115(87.12 %) cases (snake bite cases excluded). During the span of study we could get report of C.A. in 98 (85.21 %) cases. Insecticides still toped the list as killer no one, while snakebite was second most common fatal poisoning. This study differs from most of the contemporary studies in one important aspect that is we could get C. A. report in large no of cases. C.A. reports were positive in 90 per cent cases.