Kissing Carotids: A Rare Anatomical Aberration with Clinical Significance

Kissing Carotids is a term given for an anatomical variation in which bilateral internal carotid arteries are medially placed in the retropharyngeal space and are juxtaposed to each other. Though this condition is asymptomatic it can lead to abrupt catastrophic bleeding during oral surgical procedures and tracheal intubation. This variation can be diagnosed with a contrast enhanced computed tomography and can alert the surgical team. We present here a case of 55 year old asymptomatic female diagnosed with bilateral retropharyngeal internal carotid artery aberration.