Brief description of the disease ***, male, 53 years old, hospitalization number 4373602 . Diagnosis: 1) esophagogastric fundic varices; 2) portal hypertension with portal vein thrombosis; 3) hypersplenism; 4) giant hemangioma in the right lobe of the liver; 5) open microwave curing + hepatic artery ligation after giant hemangioma in the right lobe of the liver; 6) percutaneous hepatic puncture after interventional embolization; 7) severe hemorrhagic anemia; Medical history: 1) hepatitis virus carriage was found on physical examination in 1988; 2) hepatitis virus carriage was found in September 1991. In September 1991, a huge hepatic hemangioma was found in the right lobe of the liver, and an open exploration + microwave curing + hepatic artery ligation was performed; 3) percutaneous hepatic puncture and embolization of the left gastric vein was performed in 2003; 4) recurrent gastrointestinal hemorrhage has occurred several times since 2008, and recently it has significantly increased and worsened, without endoscopic treatment, and he has been taking insulin for 2 years and antiviral treatment for nearly 1 year; physical examination: severe anemic appearance, no jaundice, long oblique scar under the right rib margin CT: 1) huge occupancy in the right lobe of liver (almost the size of the whole right lobe + left inner lobe) with local calcification, consider hepatic hemangioma with thrombosis, 2) multiple low density shadow in the left lobe of liver, consider cyst and hemangioma, 3) portal hypertension, splenomegaly, lower esophagus and gastric fundus varices, right branch of portal vein is clearly displaced by compression; liver function is basically normal, platelets 47,000, WBC 1.1+109/L Question: What is the best treatment plan? The most feasible? Results: Selective dissection was performed on March 16, intraoperatively, a huge hemangioma with extensive adhesions was seen in the right lobe of the liver, nodule-like changes in the left lobe of the liver were significantly enlarged and wrapped around the huge spleen, the splenic diaphragm V was enlarged, and the portal choroidal traffic branch was enlarged with multiple gastric perforating branches and esophageal perforating branches formed. The postoperative pathology showed hemangioma-like changes in the left lobe of the liver. The postoperative pathology showed hemangioma-like lesions in the left lobe of the liver. Recommendation: elective liver transplantation. Follow-up: intermittent, small amount of black stools from three weeks after surgery, chronic liver failure five months after discharge, mobilization for liver transplantation again, the family agreed, but the patient himself firmly refused, and died of liver failure eight months after surgery.