Abdominal injury are common and can be diverse from mild to severe, sometimes life-threatening. Missed abdominal injury is the main cause of morbidity and mortality. However diagnosis is challenging. A high index of suspicion should be maintained for poly-trauma patients, especially who in under shock. Early recognition and appropriate management is imperative in patients with abdominal injury.

Initial management of patients with abdominal trauma is the same as for all other trauma patients. Begin with a rapid primary survey, including evaluation of the airway, breathing, circulation, disability, and exposure.

If the abdomen is the probable source of exsanguinating hemorrhage, the patient should be transferred to the operating room for immediate laparotomy. The hemodynamically stable patient can be more meticulously assessed within the framework of the secondary survey. Evaluation always includes comprehensive physical examination with pelvic and rectal examinations and may require specific laboratory and radiologic tests.