Published online Feb 28, 2016. doi: 10.4329/wjr.v8.i2.159
Peer-review started: June 4, 2015
First decision: July 31, 2015
Revised: August 24, 2015
Accepted: December 13, 2015
Article in press: December 15, 2015
Published online: February 28, 2016
Core tip: Pancreatic trauma is an uncommon injury in blunt trauma abdomen. Despite improved multidetector computed tomography (CT) technology, early diagnosis of pancreatic trauma remains difficult. Moreover, pancreatic injury shows evolution with time which affects CT performance in early stages after injury. Diagnosis of pancreatic ductal injury is vital to decide operative vs non-operative management. Magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography has superseded encoscopic retrograde cholangio-pancreatography (ERCP) in evaluation of duct in acute injury. This review discusses injury mechanisms, laboratory diagnosis, CT and MRI evaluation, role of ERCP and contrast-enhanced ultrasound, management and complications of pancreatic trauma. Evolution of pancreatic injury has been specifically discussed as it has important management implications.