PMC5987150_01
Cut surface of the lower lobe of the left lung showing one of the areas of chronic granulomatous caseous necrosis
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Findings at autopsy revealed shrunken and partially fibrotic lower lobe of the left lung (about 60% of normal) with the presence of three areas of caseous necrosis located in both the upper and lower lobes (Figure 1).
Puncture wounds at the apex of the heart. Note the vital reaction at the site of the injury
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There were about four puncture wounds located at the apex of the heart, adjacent to the site of the pericardial laceration (Figure 2).
Laceration of the pericardial sac (big arrow); massive blood clot within the pericardial space (small arrow) that led to cardiac tamponade
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Gross examination of the pericardial sac showed a 1.2 x 0.7cm laceration of the pericardial sac at the apex with about 650mls of clotted blood within the pericardial space (Figure 3).