Pseudo-aneurysms from branches of thyro-cervical trunk and external carotid artery lie in deep tissues of the neck. Iatrogenic and post traumatic cases are the most common cause[1]. Pseudoaneurysm with concomitant arteriovenous fistula present a great challenge for Interventional Radiologists. The chances of other small co-existing pseudo-aneurysm is also possible in such cases and they maybe masked by the larger out pouching making the management even more complex and therefore the Interventional radiology team needs to be vigilant while dealing with such cases. We report a case of a 30 year old male with two pseudo-aneurysms arising from a branch of thyro-cervical trunk and external carotid artery with concomitant arteriovenous fistula following stab wound injury to the left side of neck.