Gastroesophageal Variceal Bleed Post Transcatheter Embolisation of the Left Gastric Artery

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.