AUTOPSY REPORT

PRESENTED BY:
ANUSHKA SMRITY (18087)
o Case registration number: BH 2079/02/11
o Police officer sending for autopsy: District police officer,
Bharatpur
a)Date:2079/02/11
b)Reference Number: xxx
o Name of deceased: Mr. A
o Address: Bharatpur
o Gender: Male
o Age:
o Dead body identified by: Mr. B
o Name of accompanying police personnel: Mr. C
o Date and time of death:2079/02/11 at 10:00 hrs

o Date and hour of receipt of

a)Dead body:2079/02/11 at 11:00 hrs
b) Inquest
paper:2079/02/11 at 11:00 hrs

o Date and hour of starting autopsy:2079/02/11 at 12:05 hrs

o Date and hour of concluding autopsy:2079/02/11 at 12:30 hrs
o Name of expert conducting autopsy: Dr. Kaschev Shrestha
o Name of hospital: Bharatpur Government Hospital
RELEVANT DETAILS
 Requisition letter from District Police Office, Bharatpur
 Dated 2079/02/11
 With reference number…………
 States that on 2079/02/11 at 10:00 hrs
 The deceased Mr. A
CAUSE OF DEATH
 Blunt force injury to chest and abdomen

SIGNATURE OF EXPERT
 Name: Dr. Kaschev Shrestha
 Designation: Lecturer
 N.M.C. Reg. No. : 4356
 Date:2079/02/11
EXTERNAL EXAMINATION
GENERAL CHARACTERISTICS

• Both eyes were open

1. Length: 67 inches
2. Weight: Not taken
3. Physique: Average
4. Hair: Black coloured
5. Clothes and Conditions: Not examined
6. Special identifying features (Huliya): Not examined
7. Post-mortem Changes:
a) Rigor Mortis: Developing
b) Livor Mortis:
- Posterior aspect (back) of body
- Blanching
c) Algor Mortis: Not examined
d) Signs of Decomposition: Not present
8. Natural Orifices:
a) Eyes: Black, Pupil:
b) Mouth: No abnormalities, discharge or injuries.
c) Nose: No abnormalities, discharge or injuries.
d) Ear: No abnormalities, discharge or injuries.
e) Anus: No abnormalities, discharge or injuries.
f) Urethra: No abnormalities, discharge or injuries.
g) Penis: No abnormalities, discharge or injuries.

9. Injuries: Laceration seen on skull.

INTERNAL EXAMINATION
 HEAD AND NECK

1.Scalp and Skull:

- On right side of scalp laceration is seen in parieto temporal
region.

2. Brain and Vessels:

- The brain had no edema, no hemorrhage.
- Coronal section of cerebrum disclosed no gross anomalies.
- Horizontal section of cerebellum disclosed no gross anomalies.
- Vertical section of brainstem disclosed no gross anomalies.
3. Mouth and Tongue:
- The mouth free from injuries and abnormal discharge.
4. Neck:
- The laryngeal cartilage are intact.
- There is no soft tissue haemorrhage .
- The hyoid bone free from fracture.
- There is no laryngeal edema.
- The tongue bears no sign of injuries.
DISSECTION OF CHEST AND ABDOMEN

 I incision

 Incision starts from chin in midline upto

pubic symphysis.

 From neck to pelvis, all organs opened.

 CHEST (THORAX)

1. Ribs and Chest wall:

- Multiple ribs fracture on the
right side.

2. Lungs:
- The lungs shows sign of
contusions.
HEART EXAMINATION
INFLOW AND OUTFLOW METHOD

o RIGHT:
- Open right atrium using scissors, from IVC to right
atrial appendages.
- Both inflow and outflow cuts for right ventricle are
made about 0.5cm from ventricular septum with help of
scalpel.
o LEFT:
- Open left atrium from a point between right upper
and lower pulmonary vein orifices to tip of left atrial
appendages.
CORONARY ARTERY

• The coronary arteries shows

occlusions.

• There was no sign of thrombus.

3. Heart:
- The heart appears of normal size, weight and
configuration.
- The coronary arteries shows occlusion.
- The valves and chordae tendinae were intact and
normally formed.
ABDOMEN

o I incision was made.

1. Peritoneal and pelvic cavity:

- A pool of blood was found in peritoneal cavity due to blunt
force injury on abdomen.

2. Stomach and content:

- Not examined

3. Intestines
4. Liver, Gall Bladder and Pancreas:
- On the left lobe of liver there was lacerations.
- On the right lobe of liver contusions can be seen.
- The gall bladder contains only bile.

5. Spleen:
- The spleen was intact and had no gross anomaly.
6. Kidney:
- The perinephric fat shows contusions.
- On sectioning both kidneys were normal.
- The cortico medullary junction are intact and distinct.

7. Genital Organs:
8. Urinary bladder and Urethra:
9. Skeletal System:
- Multiple ribs fracture.
o Specimens collected for Analysis:
- None
o Items handed over to:
- None
o Cause of death:
- Blunt force injury to chest and abdomen. (Run over injury)
o Signature of Expert:
Name: Dr. Kaschev Shrestha
Designation: Lecturer
N.M.C. Reg. No.: 4356
Date:2079/02/11
o Seal of the hospital: BGH
 ABDOMINAL INJURIES

Injuries of abdomen like those of chest may be:

a) Non penetrating or closed
b) Penetrating or open
 PENETRATING OR OPEN

• Penetrating wounds may be produced by a cutting or

stabbing instrument, by a firearm, by horns or claws
of animals or by fall on a sharp pointing object.
• A single wound may result in injuries to more than one
organ.
• Penetrating wounds of liver are relatively common than
the spleen.
 NON PENETRATING OR CLOSED

oClosed abdominal injuries are caused by blunt force and

occur in falls, in RTA and in assault by blunt weapons.
o In order of frequency, structures most likely to be
damaged are: Liver, Spleen, Kidney, Intestine,
Abdominal wall,Mesentery, Pancreas and Diaphragm.
o Abrasion, Contusions and Lacerations of abdominal
muscles occur due to blunt force.
 LIVER

• It is most frequently damaged abdominal organ and is

second to brain in overall visceral susceptibility.
• Most injuries occurs on convex surfaces.
• It is ruptured by blow, kick, crushing motor accidents,
fall or by sudden contraction of abdominal muscles.
• They usually occur in association with other injuries
like fracture of ribs, rupture of diaphragm, etc.
• Laceration of liver produce slow bleeding due to
relatively low pressure in hepatic sinusoids but
considerable bleeding occurs over a period of time.
Blunt force to abdomen may produce the
following types of hepatic lacerations:
1) Transcapsular Laceration
2) Subcapsular Laceration
3) Non-communicating or Central Laceration
4) Coronal Laceration
5) Laceration of inferior surface due to distortion
6) Contrecoup Laceration
 TRANSCAPSULAR LACERATION
SUBCAPSULAR
LACERATION

• Over the convex surface

of liver under the site of
impact.
• Over the convex surface
• The lacerations are often
of liver under the site of
shallow splits, branching
impact.
out in a cobweb like
pattern across the
surface of organ.
Non-communicating or Central Lacerations
- In substance of liver
Coronal Laceration
- Over superior surface due to distortion
Contrecoup Laceration
- Involve posterior surface of right lobe, at point
where it rests against the vertebral coloumn.
THANK YOU