Introduction: In this report, we describe a very unusual case, true aneurysm of the internal carotid artery, in a child.
Report: A 10-year-old boy with a pulsating mass on his right neck was admitted with the diagnosis of a 25 mm by 50 mm true aneurysm of the right internal carotid artery, which was resected, and a 5-mm ePTFE graft was interposed. He was discharged on day 3 without complications.
Conclusions: Prompt differential diagnosis of this pathology is crucially important. Open surgery yields acceptable results depending on the size, extension and the type of the aneurysm.