The cause and manner of death in submersion cases are a routine challenge for forensic pathologists as they present considerable diagnostic difficulties. The present study was undertaken with a view to determine the characteristic pattern in bodies retrieved from water. From a total of 6779 medicolegal deaths reported at an Apex Medical Centre, Yeotmal, a rural district of Maharashtra over a 10-year study period, only 110 cases (1.6%) were decomposed and 243 cases (3.6%) were non-decomposed bodies retrieved from water with a rate of 0.6 decomposed body as compared with 1.4 non-decomposed bodies per 100,000 population per year. However, out of total 353 bodies retrieved from water, 31.2% were decomposed and 68.8% non-decomposed. Male predominance was seen in both groups with peak at 31-40 years. The cause and manner of death were ascertained as 89.9% and 82.7%, respectively, in decomposed bodies as compared with 100% and 96.3%, respectively, in non-decomposed bodies. Drowning was the commonest cause of death in both groups with suicide as the commonest manner of death in decomposed bodies in contrast to accidental in non-decomposed bodies. Excessive amount of pleural fluid, aquatic animal activity and mud/vegetation in lower respiratory tract was more commonly encountered in decomposed bodies. However, fine white froth was not seen in any of the cases in contrast to 81% non-decomposed bodies. Bodies were commonly recovered from wells in both groups. Most of the bodies were retrieved in the rainy season followed by summer and winter seasons in both groups.

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