There were also minimally displaced right T7 to T9 transverse process fractures, and a small fracture of the right posterolateral superior corner of the T10 vertebral body (not shown).

The patient proceeded to laparotomy. The left renal artery was almost completely transected, with only a small bridging intimal flap remaining. The pancreatic body was transected with injury to the main pancreatic duct. A left total nephrectomy, partial pancreatectomy and splenectomy was subsequently performed.

The pancreas is uncommonly injured in blunt trauma. When injured however, it is invariably associated with other visceral injuries. The pancreatic body is the most common site for traumatic injury.