Background: Trauma is considered the leading cause of children death worldwide. The most common cause of death in pediatric trauma is abdominal trauma. Aim of the study: This study aimed to evaluate incidence of solid organ injury after blunt abdominal trauma (BAT) in pediatric patients. Patients and Methods: The study was conducted on pediatric patients admitted to Emergency Department, Tanta University Hospital with suspected solid organ injury after isolated blunt abdominal trauma. Results: In this study, we had 119 patients with blunt abdominal trauma presented to emergency department. FAST (Focused Assessment with Sonography for Trauma) showed that intra-peritoneal free fluid (IPFF) only with no solid organ injury was found in 39.5%. Splenic injury was found in about 38.7% of patients while hepatic injury was present in about 18.5%. Renal injury was found in about 1.7%. Both renal and splenic injury were present in about 0.8%. Conclusion: Splenic injury was the most common solid organ to be injured in blunt abdominal trauma in pediatrics.