PT - JOURNAL ARTICLE AU - Sumit Goyal AU - Ajit Kumar Sinha TI - A rare case of absent left common carotid artery with bovine origin of the left external carotid artery AID - 10.1136/bcr-2016-012540 DP - 2016 Oct 05 TA - BMJ Case Reports PG - bcr2016012540 VI - 2016 4099 - http://casereports.bmj.com/content/2016/bcr-2016-012540.short 4100 - http://casereports.bmj.com/content/2016/bcr-2016-012540.full AB - A 22-year-old man had cerebral venous sinus thrombosis and his angiogram incidentally revealed an absent left common carotid artery with bovine origin of the left external carotid artery. There was also an associated low bifurcation of the right common carotid artery and basilar artery fenestration. The absence of a common carotid artery is a very rare angiographic finding, and an association with a bovine origin of the left external carotid artery has not been reported previously in the literature. Here we provide a description of the case along with a review of the literature and embryology.