Introduction Abdominal Injury has high morbidity and mortality among trauma diseases. It is the second cause of death among trauma diseases. More over abdominal injury is the common surgical emergency in many parts of the world and its diagnosis and management still present a major challenge especially in a limited resource setting. Establishing preventive strategies and treatment guidelines requires an understanding of the aetiologies, Injury characteristics and treatment outcome. At KCMC there is no documented study done on this subject. Aim This study is done to determine the incidences, Injury Pattern, Aetiological Spectrum and Short term Outcome of Abdominal Injury in Trauma patients. Methodology This is a descriptive retrospective hospital based study. It will be done at KCMC from September 2016 to February 2017. The study population will be all trauma patients with abdominal Injury admitted in the general surgery department from September 2016 to February 2017 We will review the general surgery admission register books, MOT operation register books. The study subjects will be all trauma patients with abdominal Injury admitted in the general surgery department from 2012 to 2016.