This is a case report of a 31‐year‐old female who sustained a gunshot wound to the left orbit, resulting in a ruptured globe and retained bullet fragments extending into the frontal lobe. The patient underwent enucleation without orbital implant, and no metallic fragments were recovered intraoperatively. Three months later, she returned with bloody conjunctival discharge. Examination revealed a 1.25‐cm copper‐colored metallic bullet jacket fragment spontaneously protruding through the conjunctiva. Serial CT imaging confirmed anterior and inferior migration of the bullet fragment over time, with a total migration distance of 32.9 mm through the orbit. The shrapnel was removed in clinic without complication. This case highlights the unpredictable behavior of retained foreign bodies and underscores the importance of serial imaging and long‐term surveillance in patients with projectile injuries involving the orbit and brain.
Levi et al. (Thu,) studied this question.