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The patient had long-term history of heavy drinking, and visited a foreign hospital for hematemesis and melena before the beginning of January. Emergency gastroscopy revealed esophageal and gastric fundus varices, concerning for esophageal and gastric fundus varices rupture and bleeding, and was admitted to the hospital.

He was admitted to the gastroenterology department and was given symptomatic treatment of acid suppression and hemostasis with internal medicine drugs. The MRI examination showed that liver cirrhosis, splenomegaly, ascites, esophageal and gastric varices, and space-occupying lesions in the right lobe of liver (tumor lesions were considered first). TIPS treatment (43cm water column for treatment of anterior portal vein pressure and 26cm water column for treatment of posterior portal vein pressure) was given after operation. The patient was discharged after stable condition, and was given oral rivaroxaban tablets 10mg daily for anticoagulation.

On March 27, he was admitted to our hospital for treatment due to hepatic encephalopathy. Lactulose was taken orally to maintain smooth stool. Ornithine aspartate granules were used to relieve ammonia. MRI examination showed that the upper posterior segment of the right lobe of the liver was 1.8 × 1.3cm in size, suggesting that liver cancer was highly likely. Puncture biopsy was performed and the diagnosis was primary liver cancer. Today, for further treatment, the outpatient department was admitted to our department with "primary liver cancer and alcoholic cirrhosis (decompensation). At present, the patient is in good condition, without cough, bloody expectoration, epistaxis, acid regurgitation, belching, abdominal pain and diarrhea, with acceptable appetite and night sleep, and normal urination.