Background Acute abdomen is a condition characterized by severe abdominal pain often requiring emergency medical and surgical intervention. With the advent of CT it has proved to be a crucial tool in diagnosis with significant specificity and sensitivity with good cross sectional imaging. Method The study was conducted in SS medical college Jabalpur from Jan 2025 to Feb2026. The study included all cases of acute abdomen coming to emergency department. The study excluded all traumatic and obstetrics cases. Imaging Protocols and Techniques Area of study - from lower thorax to pubic symphysis. IV contrast was given to all patients. Oral was given according to condition of patient. Reconstruction with multiplanar reconstruction coronal and saggital images was done for improved diagnosis. Results CT has emerged as a gold standard for acute abdomen offering superior diagnostic accuracy over 94 percent with rapid evaluation with ability to visualize adjacent structure giving accurate assessment of complication related to cause. CT offers evaluation of inflammatory and vascular pathologies. Conclusion CT has become a modality of choice for evaluation of acute abdomen as it is rapid, precise and useful for early detection and evaluation of anatomical structure assisting in proper planning of management of the case.

CT Scan, Acute Abdomen Ureteric Calculus, Acute Cholecystitis, Acute Pancreatitis, Acute Appendicitis, Bowel Obstruction Perforation