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Fig. 1C. —59-year-old woman with massive upper gastrointestinal bleeding. Transjugular direct portal venogram shows duodenal varices (long black arrow) with afferent vessel originating in superior mesenteric vein (long white arrow) and accumulation of contrast agent (short black arrow) in duodenal lumen caused by persistent variceal hemorrhage. In addition, esophageal varices are visualized (short white arrow).