Penetrating injuries to the abdomen forms one of the main components of emergent surgical procedures. Many of such patients are young and the only bread winners of the family. The management of these cases has changed drastically since last twenty years. This was a prospective study conducted in our Government Teaching Hospital between April 2015 to March 2016, who presented with penetrating injury to abdomen. A detailed analysis of clinical presentation, imaging reports, provisional diagnosis, management and any complications was documented. The mean age of the patients was 31.5 years. Majority of these were males. Among etiological factors, Homicidal stab injuries were the maximum 65.6%. Twenty–three patients (71.9%) underwent laparotomy. Penetrating of peritoneum was best indicator for positive findings at laparotomy. Among the injuries noted at laparotomy, small bowel was the most common. There were no mortality of the studied sample during the entire stay at the hospital. Nine  patients (28.1%) who were stable and there was no evidence of ongoing blood loss, no evidence of gastro–intestinal or genito–urinary injuries were managed by non–operative management.

Penetrating injury patients presents of variety of symptoms and signs depending upon the nature and site of injury. Hence, management should be tailored to each individual patient.