A clinical case of removal of a giant foreign body (FB) from the orbit one year after a traumatic pistol injury simultaneously with enucleation of the eyeball is described. Particular attention is paid to the difficulties of diagnosis and surgical technique in removing giant FBs. Computed tomography (CT) is the main method of examination for such injuries, but it should be borne in mind that FBs, especially bullets from traumatic pistols, can consist of various materials, including X-ray negative ones. In addition, large metal fragments produce significant artifacts that complicate the interpretation of the CT image.