Aim: Blunt trauma abdomen is a significant cause of morbidity and mortality worldwide. This study aims to evaluate the prevalence and pattern of abdominal organ injuries in patients with blunt trauma abdomen, assess the treatment strategies used, and analyze the outcomes at a tertiary care center.Methodology: A prospective study was conducted on 25 patients with blunt trauma abdomen admitted to SSIMS AND RC, Davangere, from January 2024 to January 2025. Patients above 18 years of age with blunt abdominal trauma were included, while those with penetrating injuries, deaths on arrival, and pregnant females were excluded. Clinical assessment, imaging modalities (FAST, USG, CT), and management strategies (conservative vs. surgical) were recorded. Data analysis included the distribution of organ injuries, clinical presentations, treatment methods, complications, and mortality rates.Results: The study population had a mean age of 34.72±10.52 years, with the highest incidence in the 18-30 years age group (36%). Road traffic accidents (RTA) were the predominant cause. Splenic injury was the most common (100%), followed by chest injury (80%), liver injury (36%), and kidney injury (32%). Conservative management was adopted in 60% of cases, while 40% underwent surgical intervention. Post-operative complications were observed in 4% of cases. The mortality rate was 16%, with no significant association between mortality and the chosen treatment modality.Conclusion: Blunt trauma abdomen due to RTAs remains a critical public health issue. While splenic injury was the most prevalent, a significant proportion of patients benefitted from conservative management, reducing unnecessary surgical interventions. Early assessment, imaging, and appropriate intervention are crucial in minimizing morbidity and mortality.