Abstract : Penetrating neck injury constitutes 5-10% of all cases seen in the emergency room [1]. After stabilizing the general condition of the patient neck injuries are assessed. Penetrating injuries to the internal carotid artery are infrequent but potentially devastating and can be a significant challenge to operating surgeon. Emergent neck exploration is required for patients presenting with penetrating cervical trauma and signs of neck injury or airway compromise [2]. The neck region contains a high density of vital structures within a relatively small and unprotected anatomic region, making it one of the most vulnerable areas of the body for all types of injuries. The newer approach to management of penetrating neck injuries involves the three zonal approach, comprehensive physical examination combined with Computed Tomography angiography for triage and effectively identify or exclude vascular and aerodigestive injury. Penetrating neck trauma has a mortality of 3% to 6% and is associated with serious complications, mainly due to high density of vital structures in this area and lack of corresponding protection from bone. In this case report, we present a 40 year old male who had history of fall from a tree while plucking mangoes and had injury to right pharyngeal wall. We discuss about site, depth of injury and further investigations and management.