Traumatismo abdominal cerrado con sección pancreática

Traumatic lesions of the pancreas are not very common but accompanied by a high morbimortality rate, especially if diagnosis and subsequent treatment are delayed, which is relatively common given its poor symptomology. It is, therefore, very important to evaluate the lesional mechanism which would lead one to suspect this type of lesion. Spiral CAT is very useful diagnostic tool. Therapeutic approach is conditioned on pancreatic duct integrity. Herein is presented the case of a patient with closed abdominal trauma whose CT at admittance was normal in spite of having had a pancreatic lesion being observed three days later. It was further complicated by a multiorgan dysfunction which evolved favorably.