Pancreatic tuberculosis is a rare disease. Patients with pancreatic tuberculosis often present with nonspecific symptoms, such as low-grade fever, weight loss, and abdominal pain, and with or without a history of tuberculosis or pancreatic disease. It is often misdiagnosed due to low index of suspicion and masquerading of its symptoms as more common pancreatic conditions such as pancreatic malignancy. This could result in unnecessary surgery. As this is a treatable disease that does not require surgery, it is imperative to diagnose this condition preoperatively. We report this patient of pancreatic mass presenting as locally advanced pancreatic malignancy, subsequently diagnosed to be pancreatic tuberculosis and successfully managed with anti-tubercular medications.