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69979 Pediatrics

A 7 year old girl from Bihar presented with three episodes of massive hematemesis and melena. There is no history of jaundice. On examination, she had a large spleen, non-palpable liver and mild ascites. Portal vein was not visualized on ultrasonography. Liver function tests were normal and endoscopy revealed esophageal varices. The most likely diagnosis is –

AKala azar with portal hypertension
BPortal hypertension of unknown etiology
CChronic liver disease with portal hypertension
DPortal hypertension due to extrahepatic obstruction
Pediatrics
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