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Background Traumatic vascular injury of the limbs has the potential to cause substantial patient morbidity and mortality, and therefore, early recognition and treatment are crucial to improve outcomes. While patients with hard signs of arterial injury mandate for an immediate surgical intervention, patients presenting with soft signs of arterial injury need further diagnostic evaluation. Case presentation A 24-year-old male was admitted to the emergency department after suffering a stab wound in the anterolateral aspect of his left up