We report a rare case of a 28-year-old man who presented with vague intermittent upper abdomen pain for six months and a lump of 6 x 4 cm size in the epigastric region for three months. His human immunodeficiency virus serology was negative and a Mantoux test was nonreactive. CECT of the abdomen showed a soft tissue mass involving the body and tail of the pancreas, with mild dilatation of the pancreatic duct suggestive of neoplasm. Results of CT-guided fine needle aspiration cytology were inconclusive. Exploratory laparotomy revealed a firm pancreatic mass in the body and tail of the pancreas, approximately 6 x 4.2 x 3.2 cm in size Histopathology revealed caseating granulomas and presence of giant langhans cells suggestive of tuberculosis. Although primary pancreatic tuberculosis is rare it should be considered among the differential diagnoses, especially in young patients who present with a mass in the pancreas, particularly in developing countries and immunocompromised patients worldwide.