PREOPERATIVE DIAGNOSES: 1. Gunshot wound to left upper leg 2. Absent distal pulses POSTOPERATIVE DIAGNOSIS: 1. Gunshot wound to left upper leg 2. Absent distal pulses 3. SFA transection SURGICAL PROCEDURES: 1. Exploration of extremity penetrating injury 2. Thrombectomy 3. Interposition vein graft of left SFA 4. Four compartment left lower extremity fasciotomy 5. Harvest of a right saphenous vein ANESTHESIA: General ESTIMATED BLOOD LOSS: 300 mL SPECIMEN REMOVED: None FINDINGS: There was essentially 9095% transection of the left SFA COMPLICATIONS: None apparent INDICATIONS: This is an 18-year-old male who suffered a gunshot wound to the left thigh. He presents complaining of pain and