These injuries are the result of either blunt abdominal trauma (BAT) or penetrating abdominal trauma (PAT).1-7 Management of these types of injuries differs markedly. Conservative medical management is usually indicated for MWDs with blunt abdominal trauma; whereas, urgent exploratory surgery is generally recommended for MWDs with penetrating injuries. A clinical management algorithm for MWDs with abdominal trauma is provided. (See Figure 38).