Male breast cancer usually presents late, with more than 40% of individuals having stage III or stage IV disease, when metastasis has already occurred [1].Though commonly metastasis occurs in axillary, supra–clavicular or internal mammary groups, yet occasionally metastasis to inguinal lymph nodes have also been reported [2, 3].Breast cancer metastasising to para–aortic lymph nodes and presenting as gastric outlet obstruction has not been reported so far either in male or female breast cancer. We report a case of a male patient who presented with features of gastric outlet obstruction and was diagnosed to have invasive ductal carcinoma which metastasised to the para–aortic lymph nodes.