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A young lady presented with epigastric pain and amenorrhea of two months duration. Pregnancy test was positive, however, ultrasonography showed an empty uterus. Abdominal ultrasound revealed nodules on the liver with possible lesions in the pancrease. A CT scan subsequently revealed a pancreatic tumour with metastasis to different organs. Patient later developed jaundice and died before any intervention could be made. Pancreatic tumour is often diagnosed late due to their non specific symptoms. After the diagnosis is made the mortality is high irrespective of the pathologic and clinical stages. Paraneoplastic syndrome is often seen with oat cell carcinoma of the lung with significant production of cortisol. The presence of high level of HCG in woman is often associated with pregnancy or other trophoblastic diseases. It could also be seen in patients with pancreatic cancer.

Pancreatic Tumour Mimicking Pregnancy; a Para-Neoplastic Syndrome: A Case Report and Review of Relevant Literatures