Purpose: To evaluate the causes, pattern and outcome of management of penetrating abdominal trauma. Methods: A retrospective analysis of 26 patients with penetrating abdominal injuries was done from 2012-2014. Results: The most common age group was 3rd decade of life with 10(38.5%) patients, with all 26 patients included in the study being males. Most common cause documented was stab injury (69.2%) followed by accidents (11.5%), suicidal (11.5%) and road traffic accidents (7.7%). Four (15.4%) patients had other associated injuries. Laparotomy was the mode of management in 24(92.3%) cases whereas 2(7.7%) cases were conservatively managed. Jejunum (23.1%) was the most common hollow viscous organ injured and mesenteric injury (42.3%) was the most common solid organ injured. 3(12.5%) patients had negative laparotomy. Two (7.7%) patients were discharged against medical advice. Mortality rate observed was 11.5% with hypovolemia (7.6%) being the most common cause followed by septicemia (3.8%). Conclusion: In this study, 23.07 % negative laparotomies associated with its morbidity and mortality determines the fact that laparotomy is not mandatory in all penetrating abdominal injuries, rather careful meticulous examination, selective conservative approach in management and usage of newer diagnostic tools will avoid a negative laparotomy.