The white nipple sign
- 1Gastroenterology Department, University Hospitals Coventry and Warwickshire, Coventry, UK
- 2Gastroenterology Department, Good Hope Hospital, Sutton Coldfield, UK
- Correspondence to Rangarajan Kasturi, Gastroenterology Department, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK;
Contributors RK: drafting the manuscript and literature review. NP: drafting the manuscript and literature review.CL: consultant supervisor and endoscopist involved in this case.
- Received 27 October 2011
- Accepted 8 March 2012
The white nipple sign is a term used to describe a fresh fibrin clot on a varix that has bled recently. The authors describe a case to highlight the importance of prompt endo-therapy when this sign is recognised as disturbing this clot can cause brisk bleeding
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.