Blunt abdominal trauma is typically followed by laceration of the spleen, liver, or mesentery of the intestine. Such trauma may also cause pancreatic rupture, although this happens in less than 1% of cases [
1]. Isolated pancreatic rupture after blunt abdominal trauma is even rarer, and very few case reports (for example, [
2]) have been published. Pancreatic rupture may be classified by the Lucas classification [
3] from grade I to III (I: superficial contusion with minimal damage; II: deep laceration or transection of the left portion of the pancreas; III: injury of the pancreatic head). Management of pancreatic rupture is controversial. A key question is whether the pancreatic duct was left intact or not. In general, treatment with external drainage is recommended when the duct is intact, whereas distal pancreatectomy is typically suggested for lesions to the main duct in the pancreatic body or tail [
4]. Complete rupture of the pancreas is most easily and safely managed by oversewing the proximal part of the pancreas and removing the distal portion (that is, the pancreatic tail) [
5]. Distal pancreatectomy, however, involves the risk of subsequent endocrine dysfunction (that is, reduced glucose tolerance or diabetes in up to 50% of patients) [
6]. An alternative that allows organ preservation is to drain the pancreatic tail into the stomach [
7]. Here, we present a case of a middle-aged woman with an isolated complete pancreatic rupture that was managed successfully by a special surgical anastomotic technique that has not been reported for the treatment of pancreatic rupture.