Acute pancreatitis during pregnancy is rarely encountered. It may range from mild pancreatitis to serious pancreatitis complicated by necrosis, abscesses, pseudocysts and multiple organ dysfunction syndromes. As in any other disease occurring concomitantly with pregnancy, acute pancreatitis is associated with greater concerns as it deals with two lives rather than just one as in non-pregnant population. We report here a case of a 38-year old multigravida at 27 weeks of gestation presenting with recurrent epigastric pain and vomiting. Physical examinations showed abdominal tenderness and decreased bowel sounds. Laboratory results showed hyperamylasemia and hyperlipasemia. The patient was managed medically and discharged improved after stabilization in the maternal intensive care unit. When properly managed, worse outcomes of acute pancreatitis in pregnancy can be avoided.