Electrocution is an uncommon cause of death. Few articles describe histopathological
findings in deaths by electrocution. We reporttwo cases of electrocution, which appeared
different for both clinical aspects and final conclusions. For each case, autopsical and histopathological
findings are described. Furthermore, the contribution of histological results to the
medico-legal purpose is discussed. First case concerned a woman who was found lying near a
380 volts bare electric cable. The autopsy found pulmonary lesions suggesting asphyxia and
several skin burns consistent with electrical burns. Microscopic examination confirmed mechanical
asphyxia syndrome and observed signs of cutaneous burns with skin metallization. The skin
metallization confirmed direct contact with the electric cable. The mechanical asphyxia
syndrome was suggestive of respiratory spasms in the context of a ''blue electrocuted''. The
second case concerned a young man whose ladder fell against a power line carrying 20,000 volts.
He was given emergency treatment, and then was sent to the hospital, where he died. The
autopsy found electric current marks on the upper and the lower limbs. The pathological
examination found an ischemic and hemorrhagic aspect of the heart with features of ventricular
fibrillation. In both cases, the histopathological examination provided some information, which,
added to the accident investigation data and the autopsy findings, permitted to propose some
hypothesis about mechanism of death by electrocution shock.