Objective: is to endorse the management of pregnancy complicated with acute pancreatitis. Background: Acute pancreatitis may endanger the life of mother and her baby especially in case of improper management or late diagnosis. Case: We report a case of a woman in her third trimester of pregnancy who presented with nausea, vomiting and abdominal pain mainly in upper right abdomen. On examination, there was mild tenderness in epigastrium and right hypochondrium associated with elevated serum amylase, alanine transaminase, and aspartate transaminase. Her abdominal ultrasound showed multiple gallbladder stones. She delivered vaginally with good foetal condition. Conservative management was started during pregnancy then laparoscopic cholecystectomy was done after delivery. Conclusion: Diagnosis of acute pancreatitis in pregnancy is challenging and conservative management remains a good option in case of mild acute pancreatitis, the surgical intervention should be kept for severe cases.