An endoscopic image pickup device includes a sheath (12) functioning as insertion section which is inserted in a body cavity, a camera head body (23) which is coupled to a proximal end portion of the sheath (12) in a direction perpendicular to an axis of the sheath (12), is rotatable about the axis of the sheath (12) as a rotational axis, and has a center of gravity below the rotational axis, and a remote control section (41) which is provided at a position with an extension below the camera head body (23). With this structure, even if an endoscope is rotated about the axis of the sheath (12) of the endoscope, the camera head body (23) is always kept in a constant attitude by its own weight. In addition, blurring of an image can be prevented at a time of capturing a still image by the operation of the remote control section (41).