A 74-year-old man presented to the emergency department complaining of fever, swelling at the neck, and dysphonia. He had no significant medical history except for dental care a few days before. Computed tomography angiography showed an internal jugular vein (IJV) thrombophlebitis with a venous wall rupture (Figure 1), in continuity with a voluminous abscess (Figure 2) and surrounding a right carotid bulb pseudoaneurysm. Emergency open surgery was performed under general anesthesia, and no shunt was necessary.
