Abdominal colic is non-traumatic in origin, which requires urgent attention and treatment. In the emergency department, it accounts for about 7-10% of cases. Abdominal colic can present as a disease spectrum ranging from self-limiting disease to surgical emergency. Most abdominal pain are benign, and about 10% or less are serious or ife-threatening and are treated surgically. Therefore, a thorough and logical approach to diagnosing abdominal pain is required.