2025-11-272025-11-27http://hdl.handle.net/2263/106466Clinical history : A 12 year old female with rhumatic fever for 3 weeks and developed acute left heart failure with fibrilationa and systolic noise over the apex of the heart.Radiographic images show signs of pulmonary edema or rhumatic pneumonia.Autopsy findings : 1. Acute rhumatic pancreatitis with vegetation of the aortis valve and tricuspid valve.2. Rhumatic pneumonitis.3. Chronic venous congestion.Diagnosis: 1. Acute rheumatic pancreatitis.2. rheumatic pneumonitis