What path does the bullet exit?

Introduction: In therapeutic process, injuries arising from firearms, attention to bullet path and its specification play an important role in effective treatment of injured person. There are numerous reports about bullet movement in injured body which in this respect we have reported a rare case in an unconventional route within body. Case report: The injured was a 28 years old man who were admitted in Bandarabbas Khatamolanbia hospital due to shot in 2014 in whom an observed wound was seen in right lower side of abdominal wall adjoin to superior anterior border of iliac crest and the patient complained about abdominal and pelvic pain. In radiological study and exploratory laparotomy, there was no bullet trace but in traumatology examinations by coroner, stool exit from drain embedded in the wound was observed which by consulting with surgery services and next examination, rupture in distal rectum existing in out of peritoin was considered which the injured was transferred to operating theatre in order to amend rectum damaged region. The injured one was discharged from hospital 21 day after surgery. Discussion and conclusion: Our results showed that shotgun wound and anatomical lesions should be analyzed exactly using clinical examinations and radiological approaches and also bullet entrance in intestine as well as bullet exit from body natural orifices should be considered.