Pancreatic cancer is difficult to diagnose in early stage. Malignant bile duct obstruction is a severe complication of pancreatic cancer, this can lead to poor outcomes including cholangitis, delaying therapy, decreasing quality of life and increasing mortality. Perendoscopic placement of stents is a method widely used in the management of various Malignant and benign pancreatico-biliary abnormalities. A 70-year-old woman came to Dr Moewardi General Hospital in Surakarta with body and yellow eye complaints for one month before doing admission. Patient was diagnosed as obstructive jaundice et causa suspect of advanced stage pancreatic cancer. Patient was subsequently performed endoscopic retrograde cholangiopancreatography (ERCP) which resulted an intrahepatal and extrahepatal bile ducts dilatation et causa pancreatic tumor infiltrated common bile duct and done placement of self expandable metalic stent (SEMS). Furthermore, patients got palliative therapy due to inadequate chemotherapy requirement.