Abdominal trauma accounts for 10% of overall trauma and is the third most common cause of death in children after head and thoracic injuries. It can be blunt abdominal trauma, which is most common (85%) or penetrating injury (15%). Most injured organs are the spleen, liver, kidney, pancreas, and less frequently small bowel and bladder. Short and pliable thoracic cage fails to protect upper abdominal organs like liver, spleen, and kidney and pelvis fails to protect the bladder below, as it is intraperitoneal organ initially. A quick assessment by FAST and subsequent imaging as require along with clinical condition help to plan further management. There has been a paradigm shift in the management of solid organ injury in children in favour of conservative treatment with the exception of an unstable patient with critical vascular injuries. Hollow viscus injury requires surgical intervention.