The diagnosis of drowning is one of the most difficult in forensic patholog
y and previously we proposed criteria for a positive tissue analysis accord
ing to the qualitative and quantitative diatom investigations. In the posit
ive cases, we studied the reliability of determining the site of drowning b
y comparing the diatom taxa found in the lung samples with those of the wat
er samples or in the absence of these samples with the results of the water
diatom monitoring programme set up in our region. In this study, we presen
t two series of cases, the first is one of 20 corpses who died from acciden
tal or suicidal drowning with known drowning site, and the second of 20 cor
pses for which the drowning site was unknown. The results showed that a con
cordance of the abundance of the diatom taxa in tissues compared to the sit
e of drowning and their distribution relative to one another was 65% in the
group where the site of drowning was known and 35% in the other group. The
concordance of the individual distribution in the lungs of water dial-om t
axa may be an interesting method to guide the investigations for determinin
g the site of drowning. The two limiting factors are the concentration of d
iatoms in the lungs and the development of a river monitoring programme in
the district of the study.