The patient was an 81-year-old man with a history of arterial hypertension under treatment, inguinal hernia operated on 20 years earlier and benign prostatic hyperplasia. Three days before his death he presented with pain in the epigastrium, for which he consulted his general practitioner and the electrocardiogram was reported as normal. The pain improved, but despite this he suffered from nausea and syncope, for which he was attended by the emergency medical service, who were only able to confirm death.
During the autopsy, a supraumbilical mid laparotomy scar was revealed, the reason for which was not recorded in his pathological history, as the only documented intervention was as a consequence of an inguinal hernia.
The cause of death in this case was a haemopericardium secondary to transmural infarct rupture in the free wall of the left ventricle and severe coronary atherosclerosis of the three vessels.
An autopsy finding that caught our attention was the presence of changes in the external morphology of the stomach, hyperemic in appearance, retractile, with scattered yellowish nodules. When cut, these nodules had a black, sharp content reminiscent of fruit pips.

Histological examination determined that it was an evolved, calcified scar fibrosis in relation to remnants of suture material (silk).

