Accidental penetrating trauma frequently involves the extremities, and can extend to involve their blood supply, causing exsanguinating hemorrhage and pseudoaneurysm in the involved blood vessel. Here we have a case of 27-year-old male presented with right lower extremity pain, swelling, and vascularCompromise following penetrating trauma which occurred 2 years back. Computed tomographic angiography revealed large distal superficial femoral artery pseudoaneurysm with distal popliteal artery occlusion. The patient underwent evacuation of pseudoaneurysm clots, excision with vein graft bypass and had a successful postoperative outcome. Our case illustrates importance of early identification and intraoperative challenges and its management of penetrating pseudoaneurysm when presented lately.