Key Clinical Message: Pancreatic carcinosarcoma is an extremely rare and aggressive malignancy with both epithelial and mesenchymal components. This case contributes to the limited global literature, emphasizing the importance of awareness, accurate diagnosis, and further research to improve understanding and management of this lethal tumor.Keywords: Carcinosarcoma, Pancreas, Carcinoma, Pancreaticoduodenectomy, Sarcoma