Groove pancreatits is a type of chronic pancreatitis that affects the area between pancreatic head, duodenum and the common bile duct. It usually affects alcoholic males between the ages of 40-50 years. Patient presents with typical symptoms of chronic pancreatitis such as weight loss, upper abdominal pain, vomiting, and steatorrhea. Groove pancreatitis is thought to occur from the obstruction of minor papilla which leads to impaired pancreatic juice outflow. Differentiating groove pancreatitis from peripancreatic cancer is very important. Imaging by EUS, CT and MRI can reveal characteristic findings such as cystic lesions in duodenal wall and smooth stenosis of bile duct. In cases where there is a diagnostic dilemma, biopsy through duodenum is confirmatory. Characteristic findings on biopsy include cystic lesions in duodenal wall, Brunner gland hyperplasia, dilation of Santorini’s duct and protein plaques in pancreatic duct. Treatment options include conservative management with endoscopic stenting and invasive approach with pancreaticoduodenectomy. In the following case report we present to you a case of non-alcoholic young female with morbid obesity who presented to us with complaints of pain abdomen and vomiting for 1 month, with no significant derangements in lab investigations. Her abdominal ultrasonography revealed diffuse thickening of the second and third parts of the duodenum with fine inflammatory strands extending to the head and uncinate process of the pancreas with a narrowing of the duodenal lumen, which was later confirmed to be groove pancreatitis on CECT-abdomen and patient was successfully managed conservatively.