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White nipple sign

Sunday 06 April 2008, Branislav Kunčak, M. D.

Esophageal varices with signs of a recent bleeding.

Esophageal varix with trombus signifying the site of recent bleeding. After the dislodgement of the platelet-fibrin plug active hemorage is controled by variceal sclerotherapy.

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Fig. 1

Esophageal varix with a white nipple sign (a plug of platelet-fibrin on a varix).

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Fig. 2

Active bleeding after the plug was dislodged by saline irrigation.

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Fig. 3

Varix after injection of sclerosing agent.

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Fig. 4

White nipple sign. Trombus adhering to varix at the site of recent hemorage.

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Fig. 5

White nipple sign.

Keywords: variceal bleeding, white nipple sign, sclerotherapy for variceal bleeding