case_images: PMC11790272_01
case_images: Large proximal esophageal varices without red spots.
case_images: pjg-2025-0032-0001-539092_F01.jpg
case_images: PMC11790272_01_pjg-2025-0032-0001-539092_F01.jpg
case_images: F1
case_images: Endoscopy showed large proximal esophageal varices, without red spots, and mild portal hypertensive gastropathy (shown in Fig. 1).
case_images: Large esophageal varices, reduced in size in comparison to the previous evaluation, without red spots.
case_images: pjg-2025-0032-0001-539092_F02.jpg
case_images: PMC11790272_01_pjg-2025-0032-0001-539092_F02.jpg
case_images: F2
case_images: A re-evaluation endoscopy showed large but reduced esophageal varices, without red spots (shown in Fig. 2).
case_images: Wedged supra-hepatic vein pressure measurement with Fogharty balloon catheter.
case_images: pjg-2025-0032-0001-539092_F03.jpg
case_images: PMC11790272_01_pjg-2025-0032-0001-539092_F03.jpg
case_images: F3
case_images: Cardiopulmonary and hepatic hemodynamic (HH) study revealed moderate PAH (mean PAP 40 mm Hg, pulmonary capillary wedge pressure 5 mm Hg) and HVPG of 6 mm Hg, which was suggestive of non-clinically significant sinusoidal PHT (shown in Fig. 3).
case_images: Liver histological features suggesting PSVD.
case_images: pjg-2025-0032-0001-539092_F04.jpg
case_images: PMC11790272_01_pjg-2025-0032-0001-539092_F04.jpg
case_images: F4
case_images: Histopathological evaluation revealed nodular regenerative hyperplasia (NRH) and obliterated portal veins, without fibrosis, suggesting PSVD (shown in Fig. 4).