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Pulmonary Thrombo Emolism (PTE) is an important disease for legal medicine.

For example, autopsy operator can need to assess the casual relationship between PTE and recent accident, such as trauma or long air travel.

Furthermore, the autopsy operator needs to investigate the pathology of PTE as a cause of sudden cardiovascular death.

The goal of our work is to investigate these aspects through the review of the recent literature.

During medicolegal autopsies, the autopsy operator must answer to important questions.

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It is relatively simple to confirm a fatal massive thromboembolus in the initial stage of thoracic investigations, but sometimes it might be difficult to distinguish this from postmortem clot.

In such cases histopathological examination can help in the differentiation.

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