Clinical features
Often asymptomatic with splenomegaly the only feature. The degree of splenomegaly poorly correlates with the degree of portal hypertension. It may be accompanied by pancytopenia - hypersplenism.
Presenting features may include:
- haematemesis or melaena - due to rupture of gastro - oesophageal varices
- ascites - with low plasma albumin
- hepatic encephalopathy
- porto-systemic shunts - e.g. caput Medusae
- venous hum
- haemorrhoids
- peripheral oedema
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