case_images: PMC9922197_01
case_images: Scalp hematoma (blue arrow) and subdural hematoma seen after tearing the dura over the right side of the brain (white arrow)
case_images: cureus-0015-00000033716-i01.jpg
case_images: PMC9922197_01_cureus-0015-00000033716-i01.jpg
case_images: FIG1
case_images: A 55-year-old male met with an accident and sustained severe craniocerebral and other injuries (Tables 1, 2 and Figure 1).
case_images: Autopsy findings. (A) Multiple puncture marks on the right-side chest just below the lateral end of the clavicle. (B) Multiple puncture marks over the middle lobe of the right lung surface. (C) Interatrial septal puncture mark at the level of the atrioventricular node on the right atrial side. (D) Interatrial septal puncture mark with a contusion on the left atrial side.
case_images: cureus-0015-00000033716-i02.jpg
case_images: PMC9922197_01_cureus-0015-00000033716-i02.jpg
case_images: FIG2
case_images: Then the body of the deceased was sent to the mortuary for an autopsy examination (Figure 2).
case_images: Microscopic pictures. (A-B) Microphotographs of the heart showing localized subendocardial hemorrhage myofibril lysis (hematoxylin & eosin (H&E) x40 and x100). Tissue was taken from the atrioventricular area of the heart. (C) Subendocardial area showing fresh and old hemorrhage in the form of blood and hemosiderin-laden macrophages (H&E x400). (D) Subendocardial area showing interstitial edema as marked (H&E x400). Tissue was taken from the interatrial septum from the left atrial side.
case_images: cureus-0015-00000033716-i03.jpg
case_images: PMC9922197_01_cureus-0015-00000033716-i03.jpg
case_images: FIG3
case_images: Subendocardial hemorrhages with subendocardial edema were seen in the AV region of the heart during histopathological examination (Figure 3).