Introduction: The most powerful aid to the clinician in reaching a management decision in the acute abdomen is a thorough history and clinical examination, with urgent investigations playing a secondary role. Methodology: All 50 patients who present with acute abdomen including blunt trauma to abdomen and post­operative cases were included for study and evaluated. Results: The most common symptom in our study was pain abdomen, present in all 50 cases followed by distention in 30 cases (78.00%), vomiting 29 cases (58.00%) and least being constipation in 22 cases (44.00%). Conclusion: Acute abdomen should be treated as a surgical emergency unless proved otherwise.

Keywords: Acute Abdomen; Perforation; Peritonitis.