Portal vein embolization is an interventional radiologic procedure used in the preoperative treatment of patients scheduled for major hepatic resection. The procedure induces hypertrophy of the non-diseased portion of liver and thereby reduces the possibility of postoperative liver failure. In this article, we present a case of a 50-year old patient
with preoperative portal vein embolization before right hepatectomy for metastatic gastric adenocarcinoma. We discuss the indications and contraindications for the procedure, possible complications and methods for assessing hepatic lobar hypertrophy.