A 20-y-old Maldivian male presented to a tertiary care center 4 h after being impaled by a needlefish while snorkeling in the evening. The patient had sustained a penetrating injury to the right side of the neck (Figure 1) with local swelling and ecchymosis. On presentation, he was hemodynamically stable with a pulse of 75 beats·min-1 and blood pressure of 120/70 mm Hg. There was no evidence of vascular injury, such as pulsatile bleeding, arterial thrill, or rapidly expanding hematoma.