This case involves complications from a foreign body penetration in the patient’s left leg. The penetrating trauma was a result of a fall from his unfinished deck, which resulted in abrasions and bleeding of his left leg. There were also two puncture wounds in the man’s leg, which were suspicious for foreign body penetration. The patient complained of severe pain and thought his leg may have been broken. According to the emergency department medical records, the man’s left leg was swollen and his pain intensity on a 1-10 scale was a 10. The only diagnostic study ordered was an x-ray of the patient’s leg. The x-ray discovered a small focus of potential subcutaneous gas, with no foreign body apparent and no fracture identified. Nevertheless, pieces of wood were eventually found in the patient’s left leg and removed after he developed an infection with associated compartment syndrome.