<prompt> Ramu, a 8 year old boy presents with upper GI bleeding. On examination, he is found to have splenomegaly; there are no signs of ascites, or hepatomegaly; esophageal varices are found on UGIE Most likely diagnosis isBudd chiari syndromeNon cirrhotic portal hypertensionCirrhosisVenoocclusive disease  <response>: Clues in this question are -Upper GI bleeding from esophageal varices iii No ascites or hepatomegalySplenomegaly iv No jaundiceAll these indicate Non-cirrhotic portal hypertension.Two most common causes of extrahepatic portal hypertension are0 NCPF seen in adultsii EHPVO -- seen in childrenSo, this is a case of non-cirrhotic portal hypertension due to EHPVO. About other options -In Budd-chiari syndrome Hepatic vein thrombosis and venocclusive disease, there will be hepatomegaly, jaundice and ascites.In cirrhosis, jaundice and ascites will be seen. 