Portal cavernoma with pancytopenia
Author: Pediatric Oncall
Question.
A 5 years old boy was detected to have extrahepatic portal hypertension due to massive splenomegaly. There was no hematemesis. Colour doppler showed portal cavernoma. Oesophageogastroscopy showed 1 small varix. He had pancytopenia. {Hemoglobin = 8.5 gm, dl, white cell count = 3700 , cumm and platelets of 81,000, cumm}. He subsequently had 2 episodes of epistaxis
Answers of this discussion
Author :- raees mulla on 04 September 2014.
Answer :- immediately

Author :- MOHAN KEJRIWAL on 04 September 2014.
Answer :- this is the right time to undergo splenectomy as the patient is in compensated stage.

Author :- Maria Medina on 06 September 2014.
Answer :- wait three months more

Author :- tiona simamora on 08 September 2014.
Answer :- 56 yrs

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