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Journal of Indian Academy of Forensic Medicine
Year : 2019, Volume : 41, Issue : 4
First page : ( 274) Last page : ( 275)
Print ISSN : 0971-0973. Online ISSN : 0974-0848.
Article DOI : 10.5958/0974-0848.2019.00080.0

Fatal pulmonary embolism due to asymptomatic right atrial myxoma: A case report

Bhosle Santosh H1, Niturkar Ganesh D2,*, Rathod Vikas M2, Zine Kailash U2

1Department of Forensic Medicine, Shri V. N. Govt. Medical College, Yavatmal, India

2Department of Forensic Medicine, Govt. Medical College, Aurangabad, India

*Corresponding Author Dr. Ganesh D Niturkar (Associate Professor) E-mail: niturkarg@gmail.com, Mobile: +91-9699944211

Online published on 24 January, 2020.

Abstract

A case of sudden death of 24-year-old male was brought for medico-legal autopsy. The deceased had history of sudden onset of chestpain and breathlessness and was brought dead to hospital within two hours of initiation of symptoms. He was a healthy young adult and had no any previous illness or complaints. Autopsy found two large soft whitish, gelatinous, friable pedunculated tumors arising in the right atrium. We also found a large embolus of same characteristics obstructed at the bifurcation of pulmonary trunk. It was concluded that the embolus was the fragment originated from the atrial tumor and the cause of death was pulmonary embolism. Although, pulmonary embolism due to asymptomatic right atrial myxoma is extremely rare condition; it should be considered among differential diagnosis of sudden unexpected death as reported in the present case.

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Keywords

Sudden death, Embolus, Right atrial myxoma.

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