Introduction: Perte's Syndrome or Traumatic asphyxia is a rare syndrome caused by blunt thoracoabdominal trauma and characterized by cyanosis, edema, and petechial hemorrhage on the face, neck, upper extremities, and upper parts of the thorax. In a living person traumatic asphyxia is diagnosed by history and inspection; However, during the postmortem of a brought dead case we have to rely on history and the pattern of injuries. Herein, we present a case of traumatic asphyxia due to an elevator accident in a 24-year-old male and discuss its medicolegal aspects.