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Gunshot wound to the area of a congenitally absent internal carotid artery: case report.

We present the case of a patient who sustained a gunshot wound in very close proximity to the left external carotid artery. The bullet was located exactly over the typical location of the internal carotid artery. Total agenesis of the internal carotid artery, a rare anomaly, was differentiated from thrombosis of the internal carotid artery.