Hemosuccus pancreaticus is a rare cause of obscure and intermittent upper GI bleeding, often life threatening. Usually seen in a patient with chronic alcoholic pancreatitis complicated with pseudoaneurysm of splenic artery in most of the cases. In the given case reports it was pseudoaneurysm of the posterior branch of inferior pancreaticoduodenal artery (IPDA) which accounts for less than 0.07% of total 10% of pseudoaneurysm of visceral arteries caused by hemosuccus pancreaticus. These patients usually present with an obscure moderate upper GI bleed. Early clinical, endoscopic and radiological diagnosis helps to determine the appropriate method of management. Most of the cases require the endovascular interventions like glue embolisation or metal coiling or beads, very few cases end up with explorative laparotomy. Here we report a rare case presentation of upper GI bleed due to pseudoaneurysm of IPDA in hemosuccus pancreaticus, it’s diagnosis and management.

Intrahepatic gallbladder is a rare congenital variant among the ectopic gallbladder. Inadequate preoperative imaging studies might mislead the surgeon and most of the times can create unnecessary complications in the setting of cholecystectomy. Often these anomalies are either picked up intraoperatively or by retrospective diagnosis. Patients usually are at a high risk for developing cholelithiasis due to abnormality in the contractile ability of the gallbladder. The clinical symptoms can be misleading to many of the clinicians as recurrent dull aching right upper abdominal pain for many years, treated for acute peptic disease and dyspepsia.