Abdominal trauma is responsible for 10% of all the traumatic deaths. With progressing technologies and civilization, the profile and pattern of abdominal trauma is changing. This study was conducted to look into the pattern and early treatment outcome of abdominal trauma in our local setting. Prospective and observational study from 1 February 2017 - 1 February 2018. Records of patients with abdominal trauma were collected from the day they were admitted to final outcome of management at discharge or death. Data analysis was done using IBM® SPSS® Statistics Version 22. Forty-nine patients were admitted with abdominal trauma. The majority was male (87.8%) and Malay (61.2%). Mean age was 31.6 years old (range 3-75). The most frequent type was blunt trauma (95.9%); its most common cause was motor vehicle accident (85.7%). Abdominal trauma was associated with other injuries in 75.5% of cases. The most common associated injuries were chest injuries (44.9%), followed by skeletal (40.8%) and soft tissue injuries (26.5%). FAST were done on 89.8% of patients, CECT scan (61.2%) and ultrasonogram (18.4%). The liver was injured in 49.0% of patients, spleen 49.0% and bowel 14.3%. Fifty-one percent of patient had single abdominal organ injury, 16.3% had 2 organs and 24.5% had 3. The majority of patients were treated non-operatively (61.2%). Four patients died of polytrauma (8.2%). Most trauma patients are young male. Abdominal trauma is commonly associated with other injuries but most can be treated non-operatively