Abstract Sinistral portal hypertension. also known as left-sided portal hypertension. is a rare cause of gastric variceal bleeding which occurs secondary to occlusion of the splenic vein. We present a case of venous occlusion and sinistral portal hypertension secondary to distal pancreatic cancer requiring treatment of gastric variceal bleeding. https://www.bekindtopets.com/quick-find-ICON-39290-Adjustable-Track-Bar-Kit-1999-2004-F250-F350-flash-buy/