This report describes a case of pseudocyesis in a male patient and reviews the literature in pseudocyesis in the male and female. Pseudocyesis is a rare psychiatric syndrome with only about 100 cases reported in females and three in males in the past 45 years. The authors suggest that somatic factors may play a role in the genesis of some cases of pseudocyesis by stimulating pregnancy wishes and interacting with these wishes to set up a psychophysiological interaction leading to the clinical syndrome of pseudocyesis.