Fig.4Massive bleeding due to rupture of esophageal varicesEndoscopy shows bleeding from varices (a). Emergency Percutaneous transhepatic portography is performed and dilated retrogastric vein and esophageal varices are demonstrated (b). A catheter is advanced into the retrogastric vein and embolization using 15 ml of EOI is performed (c). Endoscopy one month after PTO shows hemostasis and reduction of the esophageal varices (d).