Introduction. Traumatic injuries represent the main cause of death in children and adolescents. Cases of penetrating abdominal trauma in children account for approximately 5% of all abdominal injuries and are becoming more frequent. The main cause of these injuries is accidents, assaults, and physical self-harm. The well-developed abdominal wall musculature creates difficulties in accurately determining the depth of the wound. This necessitates careful exploration to avoid overlooking occult injuries to abdominal viscera. The organs most commonly affected are parenchymal organs, while gastric injuries are rarer (3%) and are associated with other visceral injuries. Material and Methods. During the past 3 years, among the total number of traumatized children, 6 cases of anterolateral abdominal wall wounds were detected. Clinical signs included localized pain in the injured area, muscular defense, and weakly positive peritoneal signs. Diagnostic tools used were panoramic radiography, abdominal ultrasound (USG), and computed tomography (CT). Results. Six cases of penetrating trauma were analyzed, all of which required urgent surgical intervention with clear signs of peritonitis (2 cases), omentum evisceration (1 case), hemorrhage and shock, and hemodynamic instability (3 cases). The aim of surgical treatment is to quickly identify and treat the source of bleeding and peritoneal contamination. Conclusions. The contemporary trend of conservative treatment of abdominal trauma is not useful in penetrating abdominal wounds. Delaying surgical intervention in penetrating wounds can lead to serious complications.