Arteriovenous malformation is a part of the spectrum of vascular malformations that involve
shunting of blood from the arterial vessel directly into the venous system. The most frequent
locations, in order of incidence, are the extremities, the lungs, and the head and neck. However,
arteriovenous malformation of the parotid gland is rare. The "turkey wattle" sign describes the
enlargement of a facial mass in dependency of the head, and when present, it is pathognomonic of
hemangioma or vascular malformation. The treatment of choice is to complete removal of the
mass by surgery to stop their progress. We report a recent encounter with a case of
arteriovenous malformation of the parotid gland in a 43-years-old female patient. This disorder
was successfully removed by total parotidectomy with the preservation of the facial nerve.
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