Penetrating abdominal trauma represents one of the most common forms of abdominal injuries admitted to Kasr Alainy Accident and Emergency department. There are many ways of assessment and management of patients with penetrating abdominal injuries. As yet, no clear consensus has been established as to the optimal management algorithm.We collected the data of 50 consecutive patients presented in Kasr Alainy casualty reception and reported the different ways of management done for them in order to evaluate their accuracy in diagnosing intraabdominal injuries, complications of each and their effect on hospital stay.