Question: 17 year old male patient presented to emergency department with one episode of haematemesis.There is no history of abdominal distension or jaundice. He has splenomegaly of size 7 cm below left costal margin. His hemoglobin is 9.2gm% and LFTs are within normal limits.What is the likely diagnosis in this patient?
a) Cirrhosis with portal hypertension
b) Peptic ulcer disease
c) Extrahepatic portal vein obstruction
Ans: Non cirrhotic portal hypertension is the likely diagnosis in this patient.
NCPF is more common in adult oulation while Extra Hepatic portal vein obstruction is more common in paeditric population. Liver function tests remain preserved in both conditions.