The patient is a male, 48 years old, hospitalization number 4648408, admitted to the hospital for more than one month due to recurrent vomiting of blood and black stool. 13 years ago, he underwent open pancreatic abscess drainage for acute severe pancreatitis, the exact procedure is not known. 13 years ago, he was diagnosed in our gastroenterology department for vomiting of blood and black stool as “ruptured bleeding of gastric fundic varices, pancreaticogenic portal hypertension, post-open pancreatic abscess drainage “, and underwent sclerotherapy endoscopically on 2015, 11, 03. 13 days after the operation, hemorrhage recurred 1000 ml, and was referred after the consultation of our department. Preoperative diagnosis: pancreatic-derived portal hypertension, portal vein thrombosis, post-open drainage of pancreatic abscess, formation of multiple collateral circulation in the portal cavity, post-sclerotherapy endoscopy, hypersplenism, and severe malnutrition. After preoperative preparation, the Hb was raised from 40g/L to 65g/L, and the cardiopulmonary function was improved. The omental vein was widely tortuous and dilated with a diameter of about 0.6 cm, the pancreas was hard, no suitable vein was found for portal pressure measurement, all visible portal traffic branch veins were preserved, intraoperative bleeding was 3800 ml, 900 ml of bank blood, 325 ml of plasma and 1275 ml of autologous blood were transfused, postoperative recovery was smooth and he was discharged on 13.12.2015, followed up until today with another bleeding. Gastric retinal vein Gastric short vein Gastric wall vein dilatation Menchial traffic branch Abdominal adhesion intestinal cavity bleeding Gastric retinal vein dilatation Gastric short vein dilatation