Introduction: Abdominal trauma is a shock of any kind exerted on the abdomen. It is quite frequent in childhood and is of type: abdominal bruises, and abdominal wounds. This study aimed to assess the epidemio-clinical and evolutionary aspects of abdominal trauma in childhood. Materials and Methods: The results, from a retrospective study covering children aged 0 to 15 years, treated in the Pediatric Surgery Service of Fousseyni Daou Hospital in Kayes from January 2021 to December 2023 for abdominal trauma. Results: Over a period of 2 years we collected 20, 16 boys and 4 girls cases, being a hospitalization frequency of 5.71%. The age bracket of 11 to 15 years was majority being 60% with a male predominance of 80%. Pupils were the majority with 60%. The predominant functional sign was abdominal pain in 100% of cases and one case of terminal hematuria, associated with a minimal pelvic fracture secondary to a seizure. Ultrasound imaging was performed in 80% of our patients. A laparotomy was performed in 35% (7). In our operated patients we recorded 1 case of parietal suppuration. Evolution was favorable in all our patients and one was reoperated for occlusion on flange. After a median retraction of 6 months, the mortality rate was 0%.