Objective: The aim of this work was to study the place of CT in the emergency management of abdominal complications of Crohn's disease (CD). Materials and Methods: This was a retrospective, descriptive and crosssectional study conducted over a period of 4 years (January 1, 2015 to December 31, 2018) on 125 patient records collected in the radiology department of the Mohammed Tahar Maamouri hospital in Nabeul, Tunisia. Were included all patients received in the emergency room for acute abdominal symptomatology on a CD terrain. We studied the CT aspects of digestive complications of CD but also the predictive factors for the occurrence of complications. Results: The CT aspects observed were: parietal thickening in 97.6% of the cases, intense and stratified parietal enhancement in 52% of the cases, mesenteric fat infiltration in 49.6% of the cases, mesenteric hyperemia in 45.6% of the cases, sclerolipomatosis in 64.8% of the cases and adenomegalia in 22.8% of the cases. The lesions were located in the terminal ileum in 35.8% of cases. The main complications were stenosis in 26.4% of cases, fistulas in 16.8% of cases and abscesses in 12.8% of cases. Other associated signs: sacroiliitis, lithiasis, pancreatitis. A correlation was established between the occurrence of abdominal complications and the absence of immunosuppressive treatment, the presence of abdominal pain, fever and occlusive syndrome. Conclusion: CT is an imaging technique that still keeps its indications in the efficient management of CD especially in the diagnosis of abdominal complications where it constitutes the examination of choice in emergency situations. Key words: Crohn's disease, abdominal CT, complications. abdominal symptomatology on a CD terrain. We studied the CT aspects of digestive complications of CD but also the predictive factors for the occurrence of complications. Results: The CT aspects observed were: parietal thickening in 97.6% of the cases, intense and stratified parietal enhancement in 52% of the cases, mesenteric fat infiltration in 49.6% of the cases, mesenteric hyperemia in 45.6% of the cases, sclerolipomatosis in 64.8% of the cases and adenomegalia in 22.8% of the cases. The lesions were located in the terminal ileum in 35.8% of cases. The main complications were stenosis in 26.4% of cases, fistulas in 16.8% of cases and abscesses in 12.8% of cases. Other associated signs: sacroiliitis, lithiasis, pancreatitis. A correlation was established between the occurrence of abdominal complications and the absence of immunosuppressive treatment, the presence of abdominal pain, fever and occlusive syndrome. Conclusion: CT is an imaging technique that still keeps its indications in the efficient management of CD especially in the diagnosis of abdominal complications where it constitutes the examination of choice in emergency situations. Key words: Crohn's disease, abdominal CT, complications.