Contrast-enhanced CT scan has high specificity (90–95%) but low sensitivity (52–54%) for ductal involvement. Contrast-enhanced CT scan is the fastest and most comprehensive technique for detecting suspected pancreatic injuries and is the modality of choice in hemodynamically stable patients. Initial diagnosis of pancreatic injuries may not be straightforward as the clinical and radiological signs may be initially subtle, and this may contribute to a delay in the diagnosis and treatment. penetrating) owing to social and cultural differences with most regions reporting a higher number of blunt injury in contrary to regions where easy access to firearms results in a larger cohort of penetrating injuries as in South Africa and the United States (USA) ( 2). There is an epidemiological variation worldwide with relation to the mechanism of injury (blunt vs. The incidence of pancreatic injury has been reported in 0.4–3.6% of all trauma admissions and 3.7–11% in patients with abdominal trauma ( 1, 6– 10). A high index of suspicion is necessary as the retroperitoneal location of the pancreas contributes to a delay in the presentation of signs, symptoms, and biochemical changes in the initial stages of injury ( 3, 5). Pancreatic injuries often constitute a major diagnostic and therapeutic challenge. The integrity of the pancreatic duct is an important factor for the appropriate decision-making and prognosis after pancreatic injury ( 4). The morbidity and mortality rates vary as 23.4–53% and 17.5–70%, respectively ( 1– 3). Pancreatic injury following abdominal trauma is a rare entity, however, it is usually associated with other visceral injuries and entails significant morbidity and mortality.
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