Percutaneous ethanol injection as a possible curative treatment for malignant portal vein thrombosis in hepatocellular carcinoma

Postoperative residual hepatocellular carcinoma (HCC) with malignant portal vein thrombosis in a 48-year-old man was cured with transarterial chemoemb olization (TACE) for the parenchymal portion and percutaneous ethanol injec tion (PEI) for the malignant portal vein thrombosis. No evidence of tumor r ecurrence was noted after 18 months of follow-up. The only severe complicat ion in our patient was biliary stricture which was treated with an internal stent via endoscopic retrograde pancreatico-cholangiography (ERCP).