Pathological findings in kidney in medicolegal autopsies: A study

Authors : Soibam Neha, TH. Meera Devi, Gayatri Devi Pukhrambam, A Haricharan

DOI : 10.18231/j.ijfcm.2021.007

Volume : 8

Issue : 1

Year : 2021

Page No : 33-38

Most of the chronic kidney diseases will not produce any symptoms till it reaches an advanced stage. In medicolegal autopsies most of the cases are brought with an unknown pathology. This cross sectional study was conducted to assess the gross and histopathological findings of kidney in medicolegal autopsies in the Department of Forensic Medicine and Toxicology of a tertiary care teaching institute in Imphal from 2018 to 2020. Kidney samples from a total of 170 medicolegal cases, comprising of 135 males and 35 females (M:F = 3.8:1), were examined. The prevalence of kidney findings in the present study was 77%. The
commonest kidney pathology encountered was tubular necrosis (51.8%) followed by glomerulosclerosis (15.9%). Acute tubular necrosis was found more commonly in deaths due to trauma resulting in shock, haemorrhage and asphyxia. Incidental findings included a case of right solitary kidney and a rare case of right crossed fused renal ectopia. Even though these conditions of the kidneys were not directly responsible for the death of the individuals, they could have contributed to these deaths up to some extent.

Keywords: Medicolegal autopsy, Kidney pathology, Histopathological examination.


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