[Controversial aspects in traumatic lesions of the pancreas]. 
The pancreatic anatomo-functional characteristics explain the traumatic gravidity and the problems in diagnostic.  Its lesion is treated surgically, with controversial aspects.  In terms of literature and analytic description of a case, were established: the initial course of trauma can be uncharacteristic, with normal amilasemia and abdomen Rx; the ultrasonography can determine the diagnosis; in cases of proximal transection of pancreas, the surgical treatment can include pancreatic derivation, in early operations, under favourable conditions.