Extrahepatic Portal Vein Obstruction in a Cirrhotic Paient- A Case Report

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Neelima S, Rajamani Shanmugasundaram, S. Pravin Selvam, Prasanna Vinayak

Abstract

EHPVO can present as early as 6 weeks after birth and also manifest in adulthood. The most common clinical feature is hematemesis1 . Patients can present with melaena from oesophageal gastric varices and also bleed from ectopic varices or bleeding from the biliary tract. Anaemia, splenomegaly are other common features of EHPVO and hypersplenism also seen in few patients. Ascites is seen more in adult patients with liver disease. Jaundice may result from bile duct compression because of dilated venous collaterals due to portal biliopathy. Frequency of cholelithiasis is more in EHPVO

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