Background: Abdominal trauma is a common reason for presentation to the emergency department (ED). Abdominal trauma is classified as either blunt or penetrating. Penetrating abdominal trauma is easily diagnosed, while blunt trauma complications can be missed if the clinical signs are not evident. Ultrasound in the evaluation of abdominal trauma has evolved over the past 30 years. This study aims to assess the role of focused sonography in early diagnosis of abdominal injuries following blunt abdominal trauma and follow up in patients with intra-abdominal injury for early diagnosis of complications. Material and Methods: This is a prospective and observational study conducted in the Department of Radiology at Dr. VRK Women's Medical College over a period of 6 months. Including all patients with age ≥18 years of either gender with a history of blunt trauma abdomen (BTA) presenting to the Emergency Department. Patients with overt/obvious signs of peritonitis were excluded. Abdominal ultrasonography was performed in the emergency department during initial evaluation and resuscitation. Ultrasonography was performed by sonographers who were trained in trauma ultrasonography and were registered diagnostic medical sonographers. The sonographers used either an Acuson XP 10-128 or Acoustic Imaging 5200S ultrasound with 3.5-MHz and 5.0-MHz probes.