Inclusion Criteria:  Adult patients (aged ≥18 years). Patients exposed to different mechanisms of abdominal trauma whether penetrating such as : stab or gunshot wounds . Or a blunt mechanism of trauma such as:motor vehicle collisions ,falls from height ,assaults ,falling down , falling a heavy object on torso , and sports accidents .  Exclusion Criteria:  Pregnant females. Any patient who undergoes urgent surgical intervention as a primary survey. Patient refusal to participate.