A 12-year-old boy from Lake Victoria shores, Kenya, has hepatosplenomegaly and recurrent upper GI bleeding from oesophageal varices. Rectal biopsy sho...

Question

A 12-year-old boy from Lake Victoria shores, Kenya, has hepatosplenomegaly and recurrent upper GI bleeding from oesophageal varices. Rectal biopsy shows lateral-spined schistosome eggs with granulomata. What type of portal hypertension does he have?

Accepted Answer

Pre-sinusoidal (periportal fibrosis obstructing portal venule flow)

Answer

Post-sinusoidal (hepatic vein thrombosis / Budd-Chiari)

Answer

Sinusoidal (cirrhotic)

Answer

Post-hepatic (constrictive pericarditis)

Answer

Portal vein thrombosis from unrelated malignancy

uk-dtmh MCQ (SBA): Pre-sinusoidal Portal Hypertension

A 12-year-old boy from Lake Victoria shores, Kenya, has hepatosplenomegaly and recurrent upper GI bleeding from oesophageal varices. Rectal biopsy shows lateral-spined schistosome eggs with granulomata. What type of portal hypertension does he have?