A 70-year-old female consulted our clinic complaining of persistent pharyngeal discomfort. She presented a pulsating bulge in the left side of the pharyngeal wall without mucosal lesion. CT and digital subtraction angiography confirmed that internal carotid artery had a winding course and compressed the left pharyngeal wall. She has been followed with observation only and hypertension and hypercholesteremia are being medically controlled.