RESUMO
Killing of an individual is the highest level of aggression found in all cultures. Incidence of Homicide is on the rise worldwide and pattern is also changing except for the motive v.i.z. lust for money, women and land. The present prospective study from Oct 2005 to Sep 2007 for a period of 2 years in the Dept of Forensic Medicine, MS Ramaiah Medical College, Bangalore revealed that homicidal deaths accounted for 4.32% of autopsies and victims in the age group 20-29 years constituted 49.25% of cases. In 12.25 % of cases Police did not suspect homicide prior to autopsy. Maximum homicides took place at victim‘s residence (31.5%) and street (29.75%). Acquaintances were involved in 47% of cases. The main motive was revenge (26.5%). Sharp weapon injuries (33.25%) were the commonest pattern followed by blunt weapon injuries (28%) and 82.5 % of victims died on the spot.
RESUMO
BACKGROUND AND AIM: Transjugular liver biopsy is accepted procedure in patients in whom percutaneous liver biopsy is contraindicated. We report our experience with this procedure, its indications, efficacy and safety in Indian population over 5 years. MATERIAL & METHODS: A retrospective study of 145 consecutive patients who had undergone transjugular liver biopsy from May 2002 to Nov. 2007 was done from the database maintained in our department. We evaluated the indications, technical success, complication and impact of histological diagnosis on the management of those patients. RESULTS: 145 Transjugular liver biopsies were performed of which 74 were males and 71 were females aged between 5 and 74 years. Two procedures were abandoned due to failed hepatic vein cannulation because of venous occlusion. Out of 143 biopsies, 4 were inadequate while 139 yielded adequate tissue for histopathological diagnosis. Histopathological examination in our study showed cirrhotic changes in 56, hepatitis including both acute and chronic in 48, periportal fibrosis in 9, Wilson's disease in 5 and obstructive cholangiopathy in 2 patients. The remaining 19 were normal. Minor complications occurred in 2 patients. CONCLUSION: Transjugular liver biopsy is a safe procedure in the trained hands and provides adequate tissue for diagnosis when percutaneous liver biopsy is contraindicated.