Difficult to control recurrent fundal variceal bleed

Abstract

A 55–year-old male presented with recurrent upper gastrointestinal (GI) bleed; he is diagnosed as chronic liver disease, portal hypertension, hepatocellular carcinoma with portal vein tumor thrombus. On upper GI endoscopy, there were large IGV1 fundal varices – glue injection done twice recently; however, he continues to have recurrent episode hematemesis requiring blood transfusion. Endoscopic ultrasound was done and hemostasis achieved.