Background:The rapid proliferation of motor vehicles has led to a substantial increase in blunt abdominal trauma cases, with approximately 75 to 80% attributed to motor vehicle accidents. The present study was conducted to compare the management and outcome in single versus multiple solid organ injury after blunt abdominal trauma. Materials & Methods:The study was carried out on all blunt abdominal trauma patients with solid organ injury, admitted in ICU / Surgical wards through surgical emergency at NIMS Hospital, Jaipur. Patients were divided into 2 groups. Group A: Single organ injury and Group B: Multiple organ injury. Parameters such as mode of injury, post- operative complications and follow up was recorded. Results:The average age of Group A was 31.30 years and Group B was 37.01 years.Road traffic accident is a major cause to injured single and multiple organs. In this study, majority of the cases had road traffic accidents in both the groups. 24 patients underwent emergency laparotomy in Group A and 46 patients in Group B because of pneumoperitoneum or hemodynamic instability. 66 patients in Group A and 30 patients in Group B were managed non-operatively. Mostly 22 patients had cardio pulmonary postoperative complication in Group B and 4 patients in Group A. Surgical site infection was mostly 14 patients in Group B. Pleural effusion complication was more in Group B. Most of the patients had no postoperative complication in both the groups. Good results was found in majority of the 86 cases in Group A (solid organ injury) and 56 cases in Group B (multiple organ injury). Conclusion: Blunt trauma patients with concomitant injury to liver and spleen have higher injury, mortality, length of stay, and transfusion requirements. Liver with different injury grades is the most frequently injured organ; however, the mortality was greater in patients with pancreatic injury.