Intraosseous venous malformations are rare. It commonly aff ects persons in the second and fi fth decades of life and shows female predilection. Among the facial bones mandible, maxilla, and nasal bones are commonly aff ected. The molar-bicuspid region is commonly involved in the lower jaw. The present case is in a female subject in her seventh decade who presented with an asymptomatic swelling in the mandibular anterior region. The history, clinical examination, and the computed tomography imaging of the lesion pointed toward a benign odontogenic tumor or an odontogenic cyst. Based on the provisional diagnosis segmental resection of the mandible was performed. However, the post-surgical histopathological investigation gave a diagnosis of intraosseous venous malformation of the mandible. Therefore, it is of prime importance to consider intraosseous vascular malformations in the diff erential diagnosis of anterior mandibular swellings to prevent any intra-or post-operative hemorrhagic complications.