Ramesh Kashinath Gadhari1
Choking is a form of asphyxial death in which there is blockage of internal airways. Mostly it is either accidental or homicidal. In accidental choking, the airways are usually blocked by a large food bolus or some foreign objects in intoxicated adults, elderly with neurodegenerative disorders and young children. Elderly psychiatric patients are predisposed to the accidental form of choking. Hereby presenting a case of sudden death in a 75 years old male, who was being treated at the Regional Mental Hospital for Schizophrenia as an indoor patient for the last 30 years. Post-mortem examination showed whitish semisolid food particles mixed with mucus in the trachea, both principle bronchi, lower lobar bronchi of both sides and segmental bronchi of right lower lobe.