Abstract
Chronic pancreatitis has several complications that can lead to upper gastrointestinal bleeding (UGIB). Patients with chronic pancreatitis presenting with evidence of UGIB require careful assessment and investigation. We report a case of a patient presenting with anaemia and general fatigue with a background of chronic pancreatitis. He had known non-cirrhotic portal hypertension secondary to a chronic splenic vein thrombus. The patient was found to have a left gastric artery pseudoaneurysm. Following embolisation, the patient had episodes of haematemesis, and oesophagogastroduodenoscopy (OGD) identified bleeding gastroesophageal varices (GOV). We hypothesise a mechanism of increased blood flow into the splenic venous system post-embolisation, leading to variceal rupture.