Tehran University of Medical Sciences Case Reports in Clinical Practice 2538-2683 10 4 2026 04 18 172 175 EN Sepideh Aarabi Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Fatemeh Rasooli Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. Atefeh Abdollahi Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2025 11 18 2025 12 16 Pancreatic injury following blunt abdominal trauma is an uncommon clinical scenario that often poses diagnostic and therapeutic challenges. Early recognition is critical to avoid serious complications.A 21-year-old healthy male presented to the emergency department following abdominal blunt trauma during assult.He reported epigastric pain and was initially hemodynamically stable. A contrast-enhanced CT scan revealed a pancreatic laceration without immediate signs of ductal disruption. The patient was managed conservatively but later developed peritonitis. Surgical exploration confirmed a Grade III pancreatic injury with ductal involvement, leading to distal pancreatectomy. The patient recovered uneventfully and showed complete recovery at follow-up.This case underscores the importance of maintaining a high index of suspicion for pancreatic injuries in blunt abdominal trauma. When pancreatic duct involvement is suspected, timely surgical intervention is essential to optimize patient outcomes. https://crcp.tums.ac.ir/index.php/crcp/article/view/1138 https://crcp.tums.ac.ir/index.php/crcp/article/download/1138/740