The article presents the results of radiographic and ultrasound examinations in the diagnosis of injuries to the abdominal organs in the case of gunshot wounds in 67 patients. In case of gunshot wounds to the abdomen, damage to hollow organs was recorded significantly (P<0.001) more often than to parenchymal organs. The sensitivity of radiography in the diagnosis of pneumoperitoneum was 90.3%, specificity — 75.0%, accuracy — 88.6%. The sensitivity of ultrasound was 89.3%, specificity — 66.7%, accuracy — 82.9%, respectively. In the diagnosis of hemoperitheneum, the sensitivity of ultrasound was 88.9%, the specificity was 80.0%, and the accuracy was 93.8%. The sensitivity of radiography was 89.3%, specificity — 66.7%, accuracy — 82.9%, respectively.