alexa Liver and Spleen Injuries and Associated Rib Fractures:
ISSN: 2157-7145

Journal of Forensic Research
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Research Article

Liver and Spleen Injuries and Associated Rib Fractures: An Autopsy Study

Nuwadatta Subedi1*, Yadav BN2 and Shivendra Jha2

1Department of Forensic Medicine, College of Medical Sciences, Bharatpur, Chitwan, Nepal

2Department of Forensic Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal

*Corresponding Author:
Nuwadatta Subedi
Department of Forensic Medicine, College of Medical Sciences
Bharatpur, Chitwan, Nepal
Tel: +977 9855054563
E-mail: [email protected]

Received date: July 08, 2014; Accepted date: August 30, 2014; Published date: September 06, 2014

Citation: Subedi N, Yadav BN, Jha S (2014) Liver and Spleen Injuries and Associated Rib Fractures: An Autopsy Study. J Forensic Res 5:240 doi: 10.4172/2157-7145.1000240

Copyright: © 2014 Subedi N, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Extra thoracic injuries in rib fractures often include intra-abdominal organ injuries, commonly liver and spleen. The study was conducted with an objective to determine the association between rib fractures and liver and spleen injuries among medico legal autopsies with blunt abdominal trauma at the mortuary of tertiary referral centre in eastern Nepal for the period of one year. Among a total of 68 cases studied, male: female ratio was 3.53:1 and the mean age 30.76 ± 5.14 years. The presence of liver injuries was significantly increased in all rib fractures (P value 0.378, OR 1.552) and right sided only or bilateral ribs fractures (P value <0.05, OR 0.33). Spleen injuries are significantly associated with left sided only or bilateral rib fractures (P value <0.05, OR 3.02). A significant difference exists between organ injuries with associated rib fractures compared to those without fracture, implying that the presence of rib fracture is a good indicator of organ injury

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