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.getpureroutine.com/quick-grab-blackmores-ache-relief-focus-60-tablets-supply-hot-grab/