MDCT is considered as one of the most important imaging modalities used in diagnosis of abdominal trauma including various abdominal contents which are: abdominal organs, bowel and mesentery, peritoneum, diaphragm and abdominal vasculature. MDCT with its 3D application and multiplanar reformations has a great accuracy and speed in diagnosis of abdominal trauma cases. MDCT examination may face some pitfalls that should be known not to affect the interpretation and consequently the management.