DOI: 10.36347/sjams.2017.v05i11.020

Pages: 4410-4413

Aortic dissection is very serious and emergency condition where death immediately follows the tear in wall aorta. As the tear extends, blood can flow in between the wall of blood vessel called as dissection of aorta. In this article we have reported a case brought for autopsy to Government medical college. As per police investigation and Panchanama the deceased was found at roadside in a secluded place when he went for morning exercise. There was no evidence of any major external injury but internal examination shows the rupture aneurysm of arch of aorta and descending aorta with collection of 1200 cc of blood and blood clots in left thoracic cavity. There were longitudinal intimal tears present in the wall of distal part of arch of aorta and thorough out the course of descending aorta with aneurysmal dilation of size 6 cm diameter and a rupture in the antero-lateral aspect of intima of the aorta. The case is taken for discussion due to its uniqueness in creating the suspicion about death due to body found in the secluded place and suddenness in death occurring without any warning signs in a previously healthy individual.