At 3:00 am on November 30th, our emergency ICU received a special case of a young girl with a bullet in her abdomen, which needed to be surgically removed. The girl was shot by an assailant on the night of Nov. 29, and the bullet entered her left hip, causing her to bleed profusely. She was sent to the local hospital for treatment, and was transferred to our hospital for treatment as she was in critical condition. X-ray showed that the bullet was located in the pelvis and the left iliac bone was comminuted fracture. Dr. Wang Junjiang, the doctor on duty at the Gastrointestinal Surgery Department on the same day, went to the consultation. Dr. Wang analyzed the patient’s condition: the bullet was probably located in the pelvis in front of the uterus and behind the bladder. He then reported the condition to the director of the second line, Yao Xueqing, and the director of the department, Lin Feng, to clarify whether there was a possibility of combined abdominal organ injury, and asked the gynecology, urology, orthopaedics and other related departments to be consulted. Before the surgery, the patient’s general condition was OK, but the HGB (hemoglobin) still had a tendency to drop, Dr. Wang Junjiang considered the possibility of internal bleeding. The whole department of gastrointestinal surgery discussed that the patient had surgical indications and needed emergency exploration and intra-abdominal hemostasis to remove the intra-abdominal bullet as soon as possible. Director Lin Feng, a famous laparoscopic expert in China, instructed that the patient had internal bleeding and needed to be actively explored. Considering the young age of the patient and the fact that laparoscopic surgery is very mature in our hospital, we tried to give the least trauma under the premise of guaranteeing surgical safety and prepared to carry out laparoscopic exploration. At the same time, we also prepared a second set of surgical plan: if laparoscopic treatment is difficult, we need to carry out open surgery in a timely manner. Saving the patient’s life is the first priority. After ICU’s active preparation, with the full cooperation of anesthesiology department and operating room, at noon on the 30th, the laparoscopic exploration was carried out by Dr. Wang Junjiang and Dr. Wu Deqing, who were the co-surgeons. According to the preoperative CT image, one conical bullet head of about 10x6mm was found in the anterior part of the left uterus and posterior part of the left posterior wall of the bladder. At the same time, blood seepage from the ballistic tract was found, and the surgeon gave electrocoagulation and hemostatic gauze tamponade to stop the bleeding, and left one abdominal drain in place after careful observation of no obvious bleeding, with a maximal incision of 1cm. The surgery was successful, and laparoscopy preserved a nearly complete abdominal wall structure of the patient under the premise of ensuring the safety of the surgery, reducing the trauma and the great impact of the surgical scars on the patient’s life after the surgery. The patient was given fluids on the first postoperative day, and the drain was removed on the third day, with a smooth recovery. According to the main surgeon, the bullet into the human body will cause several hazards: First, after the survival of the human body, copper and other metal materials will rust and peripheral inflammatory reaction, the bullet head of the metal lead will lead to lead poisoning; Second, the bullet into the clothing debris to increase the chances of infection, especially for the case of the presence of persistent internal bleeding manifestations, the need for timely surgical bleeding; Third, the bullet is located in the uterus in the anterior, which may lead to pelvic inflammation in the future and secondary Third, the bullet is located in the front of the uterus, which may later lead to pelvic inflammatory disease and secondary infertility or miscarriage, and prolonged inflammatory stimulation may also lead to spontaneous bladder rupture.