Pancreatic cancer is often detected in late stages. which contributes to its grim prognosis. Although the manifestations of pancreatic cancer most often include nonspecific gastrointestinal complaints. we report a case with the sole initial complaint of halitosis and subsequent diagnostic workup demonstrating a pancreatic mass with secondary pancreatocolonic fistulization. https://www.nacrack.com/top-save-Black-Icy-Flum-Pebble-X-limited-save/