Therapeutic approach in pancreatic blunt trauma can be challenging in pediatric population. Pancreatic trauma can be subtle and difficult to diagnose. We report two different cases with non operative and operative management of abdominal injuries. The first case had a second degree injury with a complication of a recurrent pseudocyst formation and the second case had a third degree injury described on the imaging studies. The evolution of the cases based on the injury grading was contradictory; the lower degree injury had to be operated. The conservative treatment of the third degree injury was resolved by the absorption of the fluid collection. However, recent studies demonstrated that the conservative treatment is safe and justified even in complete transaction of the pancreatic duct, randomized studies are needed for better algorithm outcomes.