¹Department of Vascular Surgery, Kobry El-Qobba Hospital, Cairo, Egypt DOI : 10.9739/tjvs.2019.309 Post-traumatic pseudoaneurysms of the posterior tibial artery are uncommon and are very rarely seen due to firearm injuries. These pseudoaneurysms are seldomly located in the middle one-third of the posterior tibial artery. In recent years, in the management strategy of post-traumatic pseudoaneurysms, endovascular repair, as being an anatomical and less invasive modality, has increasingly gained more attention, compared to open repair. Herein, we present a 22-year-old male case of a delayed symptomatic post-firearm injury pseudoaneurysm of the posterior tibial artery treated with an endovascular stent graft in the light of literature data. Keywords : Firearm injury; posterior tibial artery; pseudoaneurysm; stent graft