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

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

Non-cirrhotic portal fibrosis

Extrahepatic portal venous obstruction

Budd-Chiari syndrome

Hepatic carcinoma

Question Category:

Pediatrics

Correct Answer:

Extrahepatic portal venous obstruction

Description:

Ans. B. Extrahepatic portal venous obstructionExtrahepatic obstruction is the most common cause of portal hypertension in children. Patients with extrahepatic portal venous obstruction usually present 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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