A STUDY OF CAUSES OF DEATH DUE TO

BLUNT INJURY ABDOMEN WITH

REFERENCE TO THE POST MORTEM

EXAMINATIONS CONDUCTED

AT

OSMANIA GENERAL HOSPITAL,

HYDERABAD.
 A STUDY OF CAUSES DEATH DUE TO BLUNT INJURY ABDOMEN WITH
REFERENCE TO THE POST MORTEM EXAMINATIONS CONDUCTED AT THE
OSMANIA GENERAL HOSPITAL, HYDERABAD.

DISSERTATION

SUBMITTED
TO

DR.NTR UNIVERSITY OF HEALTH SCIENCES, A.P.

VIJAYAWADA
AS PER THE REGULATIONS IN THE PARTIAL FULFILLMENT FOR THE
AWARD OF

DOCTOR OF MEDICINE
(FORENSIC MEDICINE)
BY

Dr. L. A N A N D A KUMAR

DEPARTMENT OF FORENSIC MEDICINE AND

TOXICOLOGY
OSMANIA MEDICAL COLLEGE, HYDERABAD.
2006
 A STUDY OF CAUSES OF DEATH DUE TO

BLUNT INJURY ABDOMEN WITH REFERENCE

TO THE POSTMORTEM EXAMINATIONS CONDUCTED AT

THE OSMANIA GENERAL HOSPITAL, HYDERABD.

Dr. L. A N A N D A K U M A R

DEPARTMENT OF FORENSIC M EDICINE AND TOXICOLOGY

OSMANIA MEDICAL COLLEGE

HYDERABAD.

2006
 CERTIFICATE

This is to certify that the dissertation endtitled “ A STUDY OF CUASES OF

DEATH DUE TO BLUNT INJURY ABDOMEN WITH REFERENCE TO THE

POST MORTEM EXAMINATIONS CONDUCTED AT THE OSMANIA

GENERAL HOSPITAL HYDERABAD” submitted in partial fulfillment of the

requirements of degree of MASTER OF MEDICINE IN FORENSIC MEDICINE of

N.T.R. University of Health Sciences, Vijayawada, Andhra Pradesh by

Dr. L. ANANDA KUMAR, under my direct supervision and that it has not formed the

basis for the award of any degree of Diploma to this date.

Dr. M. RAVINDER REDDY

M.D., D.FM.,

Professor & Head,

Department of Forensic Medicine,

Osmania Medical College /

Osmania General Hospital,

HYDERABAD.
 CERTIFICATE

This is to certify that the dissertation endtitled “A STUDY OF CUASES OF

DEATH DUE TO BLUNT INJURY ABDOMEN WITH REFERENCE TO THE

POST MORTEM EXAMINATIONS CONDUCTED AT THE OSMANIA

GENERAL HOSPITAL HYDERABAD” submitted in partial fulfillment of the

requirements of degree of MASTER OF MEDICINE IN FORENSIC MEDICINE of

N.T.R. University of Health Sciences, Vijayawada, Andhra Pradesh by

Dr. L. ANANDA KUMAR, under my direct supervision and that it has not formed the

basis for the award of any degree of Diploma to this date.

Dr. M. NARAYANA REDDY

M.D., LL.B, (LL.M.,)

Professor of forensic Medicine,

Osmania Medical College /

Osmania General Hospital,

HYDERABAD.
 ACKNOWLEDGEMENT

I am extremely grateful to Dr.M.Ravinder Reddy, M.D., D.F.M,

Professor & HOD and Dr. M. Narayana Reddy, M.D. (F.M); L.L.B;
(LLM- Torts & Crime); Professor of the forensic medicine Osmania
Medical College / Osmania General Hospital, Hyderabad for his
constant encouragement guidance and help at every step of this
study , without his help this dissertation would not have been
completed .
My warm thanks and gratitude to Dr.C.R. Ram Reddy,
M.D., Professor and Dr. K.Sudhakar Reddy MD., Professor,
Dr. T .Mahinder Reddy MD., Associate Professor .
I am sincerely grateful to Dr.Durdana Begum, Dr.B.Raju
and Dr. Rajendra Kumar , Associate Professors of Forensic Medicine,
Osmania Medical College / Osmania General Hospital , Hyderabad
for their guidance .
I express my thanks to Dr. Damodar, Dr. N. Sattaiah,
Dr. Abhijeet Subedher Assistant Professors Dr. K. Janardhan, and
Dr. R. Sudha Tutors who have encouraged me in this work by
providing valuable information and by letting me go through this post
mortem examination reports and inquests.

I am also thankful to my fellow Post Graduate students,

Dr. K. Parvathy, Dr. P. Vijaya Sagar, Dr. J. Ammani, Dr. G. Devaraj,
Dr. Dasarath, Dr. Md.Habeebuddin Shaji, Dr. J. Nagalingam, Dr. T.
Sai Sudheer and Dr. G. Venugopal.
 I offer my thanks to the staff of the Department of the Forensic
Medicine, who have worked very warmly. Mr.G. Ramdass, typist,
Mr. Satyanarayana Statistician, and Mr. Sai photographer who were
always ready and helped me in this heavy work .I am thankful to
MD. Jani, Lab Technician, Murthy Receptionists, Mortury workers -
Khasim, Sailoo, Bahadur , Raj Kumar and Narsing Rao.
My sincere appreciations are to the employees of our
Department Smt. Kamalamm, Gopal-Attenders by providing me with
refreshing tea at the tiresome movements of writing this dissertation.
I am graciously thankful to my nephew Sankar Nag, B-Tech
and Smt. S. Aravinda., B-Com. A.Muralidhar, D. Sudheer and my
brother L. Srinivasulu Who inspired and encouraged me.
Last but not least, I am graciously thankful to my wife
Smt. A. Saradanand, inspired me and encouraged me in spite of her
heavy work.

(DR.L.ANANDA KUMAR)
 CONTENTS

Page.No.

1. INTRODUCTION 1

2. HISTORY 3

3. AETIOLOGY 5

4. ANATOMY OF ABDOMEN 8

5. OBJECTIVES OF THE STUDY 68

6. MATERIALS AND METHODS 69

7. CASE RECORDS 70

8. ANALYSIS AND DISCUSSION 91

9. SUMMARY AND CONSLUSION 98

10. BIBLIOGRAPHY 99