A scene of agonized cries and pandemonium; an extremely tragic, chaotic situation (literary/idiomatic).
大地震の翌日、街は阿鼻叫喚の様相を呈していた。
The day after the major earthquake, the town presented a scene of pandemonium.
戦場は阿鼻叫喚の地と化した。
The battlefield had been transformed into a place of agonized cries.
虐殺の知らせに町は阿鼻叫喚の声で満ちた。
News of the massacre filled the town with cries of anguish.