Giant pancreatic pseudocysts are rare and usually occur as a complication of chronic pancreatitis. A pseudocyst greater than 10 cms in diameter is termed as a giant cyst. Here we present a case of giant pancreatic pseudocyst with a unique presentation along with review of literature. Take home message: Giant pancreatic pseudocyst is rare. The treatment and prognosis depend on size, duration and presentation. Early detection and treatment prevent complications and improves prognosis.