case_images: PMC11825136_01
case_images: a Endoscopic band ligation. b CT scan showing large HCC (blue arrow) and tumor thrombus of the portal vein (black arrow). c, d Pre- and post-embolization of left gastric vein with complete obliteration.
case_images: crg-2025-0019-0001-543537_F01.jpg
case_images: PMC11825136_01_crg-2025-0019-0001-543537_F01.jpg
case_images: F1
case_images: Following standard therapy, the patient was admitted to the intensive care unit and underwent upper endoscopy showing actively bleeding large EVs which were successfully treated by EVL (Fig. 1a). Moreover, we discovered a 13.5 cm x 10.5 cm centrally located right liver lobe tumor with complete tumor thrombosis of the main portal vein and right and left branches (Fig. 1b), anticoagulation was discouraged due to EVB. This resulted in immediate obliteration of the EVs (Fig. 1c, d).