Case ReportsUnusual Foreign Body Aspiration as a Cause of Asphyxia in Adults An Autopsy Case ReportAissaoui, Abir MD; Salem, Nidhal Haj MD; Chadly, Ali PhDAuthor Information From the Department of Forensic Medicine, University Hospital “Fattouma Bourguiba,” Monastir, Tunisia. Manuscript received October 21, 2011; accepted February 16, 2012. The authors report no conflicts of interest. Reprints: Abir Aissaoui, Department of Forensic Medicine, University Hospital “Fattouma Bourguiba,” Monastir, Tunisia. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: September 2012 - Volume 33 - Issue 3 - p 284-285 doi: 10.1097/PAF.0b013e3182519ef5 Buy Metrics Abstract Most asphyxia deaths caused by foreign body aspiration occur in children and the elderly. It can also occur in specific high-risk groups of adults, such as those with underlying esophageal diseases, prisoners, those with mental retardation, and those with psychiatric illnesses. We report the case of a 49-year-old man, without previous medical history, who died rapidly after aspirating a sole fish while he was unraveling the fishing net using his teeth. At autopsy, the foreign body was found in the trachea, wedged in the carina and obstructing the right bronchus origin. The finding from the usual toxicological screening was negative. © 2012 Lippincott Williams & Wilkins, Inc.