The pancreas is not well protected in children due to their thin abdominal walls and underdeveloped muscles, so they are more likely than an adult to have a pancreas injury.

A pancreatic injury can happen after a car crash, fall, bike wreck, or any activity that causes a hard blow to the abdomen.

A penetrating pancreatic injury can be caused by a gunshot, knife, or other sharp object that cuts or tears the pancreas.