A 6 month old boy born of non consanguineous marriage presented with increasing pallor for 2 months and abdominal lump noticed 5 days back. There was no fever. The child is 3rd of three siblings and other two children are normal. Birth, immunization and milestones are normal. He is on breast feeds plus weaning diet. On examination, he had tachycardia, pallor, hepatosplenomegaly and cardiomegaly. What is the diagnosis ?
Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.
Last month's teaching file: A 12 year old body with extrahepatic portal hypertension underwent splenectomy with mesocaval shunt as he had recurrent hematemesis inspite of sclerotherapy. After the surgery, child again had 2 episodes of hematemesis. Why did the child have hematemesis inspite of shunt surgery?
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