Aim: To investigate the incidence of intra-abdominal sepsis after emergency abdominal surgery. Material and methods: A total of 100 patients who underwent emergency abdominal surgery were enrolled. The inclusion criteria were: patients aged 18 years and older, those who underwent surgery for conditions such as perforated viscus, bowel obstruction, or traumatic abdominal injury, and patients who provided informed consent. Demographic and clinical data were meticulously collected for each patient, including age, gender, underlying medical conditions, indication for surgery, type of surgery performed, duration of surgery, and intraoperative findings. Postoperative data included the length of hospital stay, the requirement for ICU admission, and the occurrence of postoperative complications.Intra-abdominal sepsis was diagnosed based on clinical, radiological, and microbiological criteria. Results: Among the 100 patients, the most common indication was perforated viscus (40%), followed by bowel obstruction (35%) and traumatic abdominal injury (25%). Regarding the type of surgery, a majority (70%) underwent laparotomy, while the remaining 30% had laparoscopic surgery. The duration of surgery was less than 2 hours for 60% of the patients and 2 hours or more for 40%, indicating that a substantial number of surgeries were relatively lengthy, which can impact the recovery and risk of complications. The length of hospital stay was evenly split, with 50% of patients staying less than 7 days and the other 50% staying 7 days or more. ICU admission was required for 40% of the patients, reflecting the severity of their conditions and the need for intensive postoperative care. Postoperative complications occurred in 35% of the patients, while 65% had no complications. The analysis of risk factors for sepsis revealed that the duration of surgery (≥2 hours) significantly increased the odds of developing sepsis (odds ratio 2.5, p-value 0.01). ICU admission was another significant risk factor, with an odds ratio of 3.0 (p-value 0.002). The presence of comorbidities also contributed to the risk, with an odds ratio of 2.0 (p-value 0.03). Conclusion: The study highlights significant demographic, clinical, and postoperative findings in patients undergoing emergency abdominal surgery. Middle-aged males predominated, with common comorbidities including diabetes and hypertension.