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Report a unique case of absent posterior belly of digastric muscle, with a literature review and discussion of its clinical importance. Present a case report and review the current literature including PUBMED search terms; "absent posterior digastric", "digastric muscle", "posterior belly". While there were multiple reports of accessory anterior and posterior bellies and absence of anterior belly, there is a paucity of literature on absence of posterior belly of digastric muscle. To our knowledge, this is the first report