An 18 yr old male presents with massive hematemesis; he has history of fever for the past 14 days for which he was managed with drugs; moderate splenomegaly is present; diagnosis is:
NSAID induced duodenal ulcer
Drug induced gastritis
Esophageal varices
None of the above.
Answer is C (Esophageal varices) Presence of massive haematemesis in the background of moderate splenomegaly suggests a diagnosis of esophageal varices secondary to poal hypeension. Esophageal varices : Most common presentation of esophageal varices is Hematemesis. 'Splenomegaly, sometimes with hipersplenism, is the next most common presenting feature in the poal vein obstruction.'