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The diagnosis of neuroendocrine tumor, in general, seems to have increased in the recent years, most likely due to better diagnostic modalities. Ampulla represents an uncommon site for the occurrence of neuroendocrine tumor of gastrointestinal tract (0.05%).[1] A carcinoid tumor at the ampulla has varied presentations. Here, we report this rare case of neuroendocrine tumor at the ampulla in a young female presenting as abdominal pain and improving after pancreaticoduodenectomy.