1. EUS showed a large hypoechoic mass in the pancreatic head leading to obstructive jaundice and invading nearby vessels. Hypoechoic nodes in the celiac axis suggested metastasis. 2. EUS-guided FNA of the mass confirmed pancreatic adenocarcinoma. ERCP showed a stricture and placed a metal stent for palliation. 3. The case demonstrates accurate diagnosis, staging and palliative management of advanced pancreatic cancer with obstructive jaundice through EUS and ERCP in a single session.