International Journal of Forensic Medicine

Background: The prevalence of a right heart thrombus in the setting of an acute pulmonary embolus is 4% to 18%1. Without treatment, mortality is reported to be 100%2. The Type B thrombus usually originate in situ in the right cardiac chamber and are of local origin3. The patients present with syncope, but occasionally have an insidious clinical presentation4. The patients are at constant risk of pulmonary embolization leading to hemodynamic instability and has a high mortality rate5.

Case Presentation: In the present reported case of sudden death of 35year old male known smoker, alcoholic and non-diabetic. The forensic examination had been conducted and vital organs sent for histopathological examination. On examination of heart and lungs there was evidence of Right ventricular type B thrombus and pulmonary thrombo-embolism had been reported.

Conclusions: We present a case of sudden suspicious death with no previous significant medical history related to cardiovascular system and no significant findings on forensic examination referred to histopathological examination with findings of Type B thrombus in Rt. Ventricle associated with pulmonary thrombo-embolism with an overall incidence of 4% according to existing literature.