Anatomical and physiological changes of pregnancy make the airway management risky, which has resulted in the increased use of regional anaesthesia for caesarean section. Pathological conditions causing airway compromise in these patients can increase the risk making the situation life threatening during the perioperative period. Though regional anaesthesia avoids airway manipulation, it can often result in emergency situations necessitating airway control which can be catastrophic in them. We present the successful management of a patient with compromised airway due to huge lymphoma in front of the neck having retrosternal extension for elective caesarean section under continuous epidural anaesthesia with good maternal and neonatal outcome.