Abdominal hemorrhage is one of the most severe complications of infected pancreatic necrosis (IPN). Common causes of bleeding include arterial, venous, coagulopathy-related, and iatrogenic factors. The preferred treatment for IPN complicated by abdominal bleeding is digital subtraction angiography (DSA) combined with transcatheter arterial embolization. For patients with repeated negative DSA results, ineffective conservative treatment, or acute bleeding with extremely unstable vital signs, emergency surgery is required. The surgery should follow the principles of damage control. Preventing bleeding in IPN patients is a top priority for future work. This article, based on the diagnostic and treatment experience of the authors' team as well as relevant research findings, shares thoughts and discusses with fellow professionals regarding the diagnosis and treatment of IPN with abdominal hemorrhage.