Background: Drowning is described in forensic medicine literature, one of the most difficult thing to diagnose. The macroscopic findings and histopathological examination of lungs combinely gives a good approach to form an opinion regarding cause of death. This study was carried out during period December 2013 to October 2015 on 176 cases of deceased with history of drowning.

Conclusion: We concluded that, washerwomen’s hands present in 85.22% cases, foreign bodies in hands in 68.18% cases, goose skin appearance in 81.82% cases, froth in mouth and nostrils in 85.79% cases, cyanosis in 80.68% cases. Internal findings, oedematous and voluminous lungs were seen in 85.80% cases; petechial haemorrhages in 76.14% cases, rib indentation over the lung surface in 77.84% cases, froth in respiratory tract in 88.64% cases and mud particles in respiratory tract in 5.68% cases. Alcoholic smell of stomach contents was present in 19.88% cases. Histopathological changes in lungs, congestion was present in 92.61% cases, oedema in 91.47% cases, dilatation of alveoli in 84.09% cases, thinning of septa in 84.09% cases, rupture of alveoli in 25.56 cases, and haemorrhage in 46.02% cases.