ABSTRACT
Many cases are being reported before the Forensic Experts, in which it becomes difficult to find out the precise cause of death. A 73 year male was brought for autopsy examination at Rajendra Institute of Medical Sciences, Ranchi, Jharkhand with suspicion of death due to brain tumor. The findings of autopsy examination was edema of brain matters and depressed area in right frontal lobe of brain with several stitches marks on right side of head. Detailed history from all the concerned persons were taken which reveals previously person was operated by neurosurgeon for space occupying lesion in cranial cavity. Histo-pathology examination of mass showed Koch’s lesion as tuberculoma en plaque a very rare presentation of tuberculosis which is very common in our country even in the era of 21st century. Case is being presented with brief discussion showing the need of early and prompt history taking including hospital records details before an autopsy examination. It may reveal important facts as well as helps the Forensic Experts to take the consideration of therapeutic artefacts during autopsy to find the exact cause of death.