Abstract. The metabolic rate of oxygen consumption, an important indicator of tissue metabolism, can be expressed as the change of net blood oxygen flux into and out of a tissue region per 100 g of tissue. In this work, we propose a photoacoustic and Doppler ultrasound method for imaging local blood oxygen flux of a single vessel. An imaging system for combined photoacoustic and high-frequency ultrasound microscopy is presented. This system uses a swept-scan 25-MHz ultrasound transducer with confocal dark-field laser illumination optics. A pulse-sequencer enables ultrasonic and laser pulses to be interlaced so that photoacoustic and Doppler ultrasound images are co-registered. Since the mean flow speed can be measured by color Doppler ultrasound, the vessel cross-sectional area can be measured by power Doppler or structural photoacoustic imaging, and multi-wavelength photoacoustic methods can be used to estimate oxygen saturation (sO 2 ) and total concentration of haemoglobin (C Hb ), all of the parameters necessary for oxygen flux estimation can be provided. The accuracy of the flow speed and sO 2 estimation has been investigated. In vitro sheep blood phantom experiments have been performed at different sO 2 levels and mean flow speeds. Blood oxygen flux has been estimated, and the uncertainty of the measurement has been quantified.