Every autopsy expert has to deal with many kind of cases like road traffic accidents, poisoning, insect bites, hanging, drowning, burns etc., but sometimes some cases made us think twice, to give perfect opinion regarding the cause of death which otherwise might be missed and injustice might occur. A case of 55 years old, Muslim, female with history of coronary artery bypass graft 7 years back, met with road traffic accident followed by head injury and admitted in hospital for the same. After complete careful examination and investigations, doctors came to know that she had subarachnoid and subpial hemorrhage along with fracture of left forearm bones and treated accordingly. She survived for 10 days in hospital under treatment and died suddenly without any significant cause. On autopsy examination, haemopericardium as a result of cardiac rupture was found to be the cause of sudden death.