Child abuse as an ominous and abnormal phenomenon was scold in every community. In attention to severity of non - accidental injuries that inflict by parents or guardian and chance of death is considerable, intervention is necessary for life saving at early stage. A large number of child abuse fatality occur in world wide, that usually does not recognize at routine visits. Therefore the need for a program to recognize and intervent is an inevitable task. This study consider child abuse case with fatal abdominal injury with subsequent death.