Major component of Forensic Pathology is its ability to recognize and interpret the injuries and determineits role in causing death. It becomes more complicated in sudden deaths, wherein there are both significant external mechanical injuries and internal natural lesions. Meticulous autopsy plays an important role in unravelling such deaths. Sudden death due to cardiac cause is the most common pathology encountered at autopsies. Diseases of the heart account for approximately 90% of all sudden deaths due to natural disease, with atherosclerotic coronary artery disease being the underlying cause of approximately 75 - 90% of sudden cardiac deaths. Autopsy studies indicate that 8 – 20% of deaths following myocardial infarction are due to free wall myocardial rupture. We here by present a case of sudden death of 75 years old lady who was brought dead to hospital with external injuries to head after fall in bathroom. But after autopsy we were able to attribute cause of death due to rupture of left ventricular wall and not due to head injury.

Keywords: Sudden deaths; Myocardial Infarction; Haemopericardium