This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
A known alcoholic presents to to the emergency room with hematemesis. On examination he has ascites with splenomegaly and
gynaecomastia Diagnosis is - 
Select and explain. 
A. Portal hypertension secondary to viral hepatitis, B. Budd Chiari Syndrome, C. Portal hypertension due to Alcoholic cirrhosis, D. Primary Sclerosing Cholangitis
C: Portal hypertension due to Alcoholic cirrhosis
Answer: C: Portal hypertension due to Alcoholic cirrhosis 
Explanation: The patient clearly has portal hypertension due to alcoholic cirrhosis (Gynaecomastia indicates cirrhosis as a cause of portal hypertension).