Medical MCQ-A 5 year boy presented with massive haemetemesis. He is not febrile. Per abdomen examination revealed massive splenomegaly without hepatomegaly. Most probable diagnosis would be: March 2005

A 5 year boy presented with massive haemetemesis. He is not febrile. Per abdomen examination revealed massive splenomegaly without hepatomegaly. Most probable diagnosis would be: March 2005

Non-cirrhotic poal fibrosis

Extrahepatic poal venous obstruction

Budd-Chiari syndrome

Hepatic carcinoma

Question Category:

Pediatrics

Correct Answer:

Extrahepatic poal venous obstruction

Description:

Ans. B: Extrahepatic poal venous obstruction Patients with EHPVO usually presents at about 5-6 years with hematemesis with or without melena. Splenomegaly is almost universal in patients with EHPVO and size of spleen is usually dependent on the duration of the illness. Liver is usually normal in size. Ascites is usually rare.

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