Isolated blunt pancreatic neck transection after minor trauma: a delayed presentation successfully managed surgically

Blunt pancreatic trauma is rare and often associated with delayed diagnosis and significant morbidity, particularly in the presence of ductal injury. We report an 18-year-old female presenting 10 days after minor blunt abdominal trauma with worsening epigastric pain and vomiting. Imaging revealed a Grade IV pancreatic injury with transection at the neck and main duct disruption. She successfully underwent distal pancreatectomy and splenectomy, with an uncomplicated postoperative course and no evidence of endocrine or exocrine insufficiency on follow-up. This case highlights the challenges of delayed presentation in isolated pancreatic trauma and supports operative management for high-grade injuries with ductal involvement.