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Penetrating sharp object injuries in the gluteal region are common. However, it is very rare that these injuries lead to perforation of the small bowel by pelvic penetration, which is generally overlooked. As penetration depth increases, there may be life-threatening injuries such as vascular injury, bowel injury and genitourinary injury depending on the localization of injury site. The case report addressed in the present research focuses on a patient who was admitted to the hospital because of a penetrating sharp object injury in the gluteal region.