Ramu, a 8 year old boy presents with upper GI bleeding. On examination, he is found to have splenomegaly; there are no signs of ascites, or hepatomegaly; esophageal varices are found on UGIE Most likely diagnosis is –
Correct Answer: Non cirrhotic portal hypertension
Description: Clues in this question are -
Upper GI bleeding from esophageal varices (iii) No ascites or hepatomegaly
Splenomegaly (iv) No jaundice
All these indicate Non-cirrhotic portal hypertension.
Two most common causes of extrahepatic portal hypertension are
(0 NCPF seen in adults
(ii) EHPVO --> seen in children
So, this is a case of non-cirrhotic portal hypertension due to EHPVO.
About other options -
In Budd-chiari syndrome (Hepatic vein thrombosis) and venocclusive disease, there will be hepatomegaly, jaundice and ascites.
In cirrhosis, jaundice and ascites will be seen.
Category:
Pediatrics
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