A pancreatic laceration is the loss of continuity of the organic parenchyma associated or not with dissection of the main duct, which allows its classification into five grades by the American Association of Surgical Trauma (AAST):

• I: minor laceration without duct involvement

• II: major laceration without duct involvement

• III: distal parenchymal involvement with partial involvement of distal duct transection

• IV: proximal parenchymal involvement with proximal duct transection

• V: massive head disruption with proximal duct transection

In pancreatic lesions, the contrast allows visualization of hypodensities suggestive of laceration or early hematoma. Guidance on pancreatic duct involvement in this study is difficult unless we find frank transection of the glandular structure, however, the perilesional findings allow us to orient the damage since they create a focal area of inflammation with alterations associated with the externalization of pancreatic secretion products. When in doubt, different guides recommend exploratory laparotomy since its performance is associated with a decrease in morbidity and mortality, if there’s no clinical emergency it's suggested to monitor the patient waiting to perform Magnetic resonance cholangiopancreatography for assessment of the pancreatic duct or even retrograde cholangiopancreatography.

In this case, the patient remained under clinical surveillance and surgical evaluation, which corroborated the pancreatic laceration and making a classification of grade II according to AAST, continuing expectant management with a good prognosis.