This was a prospective study conducted at the Csref of Fana from July 1, 2016 to June 30, 2017. During the study we identified 121 cases of surgical abdominal emergencies including 76 men and 45 women with a sex ratio of 1.68 in favor of men, the average age was 29.95±18.71. There were 6 surgical emergencies which are: Acute appendicitis (45 cases), Intestinal obstruction (32 cases), Acute peritonitis (30 cases), Traumatic hemoperitoneum (06 cases), EP (05), Evisceration (3). Abdominal pain was the main reason for consultation. The physical examination allowed the diagnosis to be made in the majority of cases. In some doubtful cases, we asked for para-clinical examinations (ultrasound in 28 cases, ASP in 60 cases and grouping/rhesus in all cases). The morbidity rate was 12.4% and mortality 6.66%.