Haemorrhage following tracheotomy is a well-known complication. Late bleedings from the innominate artery should be considered to indicate a tracheal fistula until proven otherwise. A case with late and massive extratracheal bleeding as a result of pseudoaneurism and erosion of the innominate artery, following facial trauma and emergency tracheotomy is reported. In case of late bleedings from the tracheostoma following trauma in the neck region, the patient should be hospitalized for observation and innominate artery pseodoaneurism should be suspected.