A 12 year old Boy with hematemesis, melena and mild splenomegaly presented to the paediatrics OPD. Examination revealed absence of jaundice / ascites. Most probable diagnosis is?
A. Extrahepatic Portal Venous Obstruction (EHPVO)
B. Cirrhosis
C. Non Cirrhotic Portal Fibrosis (NCPF)
D. Malaria with disseminated intravascular coagulation
Correct answer : A. Extrahepatic Portal Venous Obstruction (EHPVO)
Hematemesis, melena and splenomegaly are suggestive of a diagnosis of portal hypertension
The first three options can cause portal hypertension
But considering the age and sex of the child, Extrahepatic Portal Venous Obstruction (EHPVO) is the most probable diagnosis
Non Cirrhotic Portal Fibrosis (NCPF) is usually seen in adult females in the third or fourth decade
Cirrhosis is not very common in children, and it is usually accompanied by jaundice / ascites