Acute abdominal pain, also known as acute abdomen, is a relatively common and frequent clinical problem. The first approach followed in the emergency management of acute abdominal pain is to find the specific cause. If the pure acute abdominal pain is due to intestinal spasm and inflammation, appropriate antispasmodic treatment can be given, which can be done by subcutaneous intramuscular injection of scopolamine 10mg. If acute abdominal pain with signs of peritonitis is considered, routine review of abdominal ultrasound, standing plain film of the abdomen or even CT is required, and if peritonitis due to perforation-type disease is considered, emergency caesarean section may be performed. Therefore, in the emergency management of acute abdominal pain, the patient should be treated according to the specific cause of abdominal pain. During the treatment of abdominal pain, patients should never be routinely given the application of analgesic drugs, because the application of such drugs can mask the symptoms of the abdomen, and when the inflammation in the abdominal cavity is aggravated, or even perforation-like disease, it may mask the symptoms and cause the patient’s condition to worsen. Therefore, when dealing with acute abdominal pain, it must be handled at regular outpatient and emergency clinics, and never at home on its own.