A 7 yrs 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:

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Kala azar with portal hypertension

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Chronic liver disease with portal hypertension

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Portal hypertension due to extrahepatic obstruction

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Portal hypertension of unknown etiology

1.	A 7 yrs 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:
A.	Chronic liver disease with portal hypertension
B.	Portal hypertension due to extrahepatic obstruction
C.	Kala azar with portal hypertension
D.	Portal hypertension of unknown etiology
Answer» C. Kala azar with portal hypertension

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