A 41-year-old, previously healthy male presented to the emergency department (ED) 4 weeks after accidentally falling onto his hunting knife during a hike. Two weeks after the accident, the patient noticed some swelling and bloody drainage from his thigh wound. At an outside hospital, he was given pain medicine and instructed to use wet to dry dressings on his wound. He began to have worsening pain and swelling. On the day of his presentation to the ED, he noticed foul-smelling, ruddy brown discharge and blood from his wound (Figure 1). Patient was pale and tired appearing. His hemoglobin was found to be 5.1 g/dL. Computed tomography (CT) of the lower extremity demonstrated the findings depicted in Figures 2 and 3. The patient received packed red blood cells and was sent immediately from CT scanner to the operating room, where bypass grafting and debridement of necrotic tissue were performed. He returned to the operating room after wound dehiscence and was eventually discharged home on Coumadin and pain medications.