Pseudoaneurysm of the superior gluteal artery (SGA) is ngetikin very rare and the most common causes are blunt or penetrating pelvic traumas.Although pseudoaneurysm can be asymptomatic at the time of initial trauma, it can be symptomatic weeks, months, even years after initial trauma.We present a case of a ruptured superior gluteal artery pseudoaneurysm with hemorrhagic shock twenty days after a bomb injury in the Syria civil war.In addition, remtavares.com we review the anatomy of the SGA, clinical presentation and pitfalls of pseudoaneurysm, and imaging and treatment options.Keywords: Pseudoaneurysm, Superior gluteal artery, Pitfall, Angiography.