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.ealisboa.com/best-grab-Chocolate-Chip-Cookie-Purse-Spray-mega-super/