Endovascular management of direct traumatic carotid cavernous fistula: A case report with clinical perspective

Carotid cavernous fistula (CCF) is an abnormal vascular communication between the carotid arterial system and the cavernous sinus, a venous structure behind the eyes. This report discusses a case of CCF in a young male who presented with axial, pulsatile proptosis and periorbital swelling, along with chemosis of the right eye for 1 month following trauma. The patient was diagnosed with a direct CCF and underwent therapeutic digital subtraction angiography embolization. This case illustrates the vision-saving potential of early intervention and highlights a classic but often missed presentation of traumatic CCF.