A young girl in the first grade of junior high school fell in the middle of school. She didn’t take it seriously at first, but the next day she had stomach pain and couldn’t go down to the floor, so she went to the hospital for a CT examination, and it turned out to be a ruptured pancreas. The author operated on her in an emergency and found that the neck of the pancreas was completely ruptured. She underwent a mid-pancreatectomy, which preserved most of the pancreatic function and recovered well. The pancreas is located deep in the abdominal cavity and is usually not easily injured. However, there are some special cases of trauma, such as steering wheel crush of a driver’s car accident or handlebars of a bicycle ride, which can crush the neck of the pancreas toward the spine and cause a rupture of the pancreas if it is on the upper abdomen. After the injury, the symptoms are not significant at first due to the deep location, and the diagnosis is often missed. Pancreatic trauma varies in severity and can be classified into 5 levels. Patients with a ruptured pancreas require emergency surgery. Median pancreatectomy is often the most suitable surgical approach, preserving most of the patient’s pancreas while allowing a single operation to solve the problem and avoiding another operation later. The author has encountered many cases of pancreatic trauma and some experiences, published in the Chinese Journal of Practical Surgery.