Rapid reversal of hyponatraemia in a patient with non-cirrhotic portal hypertension treated with terlipressin

A 41‐year‐old man presented with a history of melaena and haemoglobin of 31 g/L on a background of alcoholic pancreatitis, and significant ongoing alcohol intake. He underwent several endoscopic procedures and computed tomography angiography scans that identified isolated gastric varices and pancreatic parenchymal bleeding. This was a consequence of left‐sided portal hypertension due to splenic vein thrombosis from previous pancreatitis. The patient was treated with terlipressin and required splenic embolisation to cease bleeding.