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eMediNexus, 12-04-2018
#Cardiology
           


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:
  •    Kala azar with portal hypertension.
  •    Portal hypertension of unknown etiology.
  •    Chronic liver disease with portal hypertension.
  •    Portal hypertension due to extrahepatic obstruction.