Abstract :
Café coronary syndrome – A term that describes a sudden collapse of an apparently healthy individual during a course of meals. There will be no signs of asphyxia or respiratory distress. Risk factors include extremes of age, poor dentition, inebriant state, neuro-muscular disorders, and psychiatric disorders. One of the main problems with this syndrome is that, even when being witnessed, it is often confused with myocardial infarction due to the absence of asphyxial symptoms. In such cases, a meticulous autopsy is required to clinch the cause of death. This is a case report of a brought dead male in his mid-forties. As per the history given by his acquaintance, he was having his meal along with alcohol. All of a sudden, the victim collapsed and was immediately shifted to our hospital casualty where he was declared dead. Sudden collapse during or shortly after a meal should always raise the possibility of café coronary in the mind of the autopsy surgeon and the autopsy examination should not only attempt to demonstrate the obstruction but also rule out other causes.
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