Abstract
A 23-year-old Afghan man presented with a traumatic carotid-jugular fistula (CJF) and a right common carotid pseudoaneurysm following a gunshot wound. Persistent neck pain and pulsation led to imaging, which revealed an aneurysmal dilation and fistulous connection. He underwent successful open surgical repair, which included resection of the aneurysm and reconstruction of the affected vessels. Postoperative recovery was marked by the resolution of symptoms and normal function. This case underscores the effectiveness of open surgery for complex CJFs.