ALB and portal hypertension: She had jaundice (total serum bilirubin, 22.2 mg/dL), hypoalbuminemia (serum albumin level, 2.58 g/dL), coagulopathy (prothrombin time > 20 s compared to that of a normal control), ascites, splenomegaly, portal hypertension (portal vein velocity, 3.9–5.6 cm/sec with hepatopetal flow measured by Doppler ultrasound), and repeated bleeding of the varices after three doses of intravascularly administered Histoacryl 1 ampoule mixed with Lipiodol UF 8 mL (Auckland, New Zealand) in the EV (Fig. 1).