Background: A pseudoaneurysm, also known as a false aneurysm, is a local dilation or rupture of a blood vessel that is caused by a breach in the arterial wall not contained by layers of normal arterial wall. A true aneurysm, on the other hand, involves all the 3 layers including the intima, media, and adventitia. Clinically, it may present with pulsatile hematoma, pain, ecchymosis, or with active extravasation. In chronic scenarios, once a fibrous capsule has been formed, it may present with a persistent flow communicating with the arterial lumen. Pseudoaneurysm (PSA) clinical progression varies; its complications depend on the size, mechanism of injury, duration, patient comorbidities as well as neck diameter. Clinical examination should raise a high index of suspicion once a pulsatile mass can be felt, especially when a patient reports recent trauma or intervention. Vascular injury with formation of infected femoral artery pseudoaneurysms (IFAPs) is now frequently encountered by vascular surgeons. The management of IFAPS as opposed to standard pseudoaneurysms (PSA) has evolved owing to the inherent differences between them. A routine PSA encountered after vascular or an endovascular procedure is often amenable to percutaneous thrombin injection and, when required, direct repair or an interposition bypass graft can readily be performed. The cornerstone of treatment is arterial ligation, PSA excision, abscess drainage, and infected tissue debridement. Arterial reconstruction using great saphenous vein if available, femoral vein, internal iliac artery, prosthetic grafts, or CryoVein (CryoLife, Inc., Atlanta, Ga) has been described, as well as endovascular treatment with the placement of covered stents. Treatment of non-infected femoral PSA includes open surgical repair, ultrasound-guided compression, ultrasound-guided thrombin injection, coil embolization, covered stent placement. Surgical repair of PSA is an option when a concomitant arterio-venous fistula exists.