Discussion (contd)
•These findings confirmed the portal hypertension of cirrhotic etiology for splenomegaly.
•
•Causes of cirrhosis in children:
• Hepatits B and C,
•      Bilirary cirrhosis,
•      Autoimmune cirrhosis,
•      Inherited disease (Wilson disease, cystic fibrosis, alpha-1 antitrypsin deficiency, hemochromatosis, galactosemia, and glycogen storage disease. )
• (Absence of jaundice as the presentation: unlikely of first three )