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Frontline Gastroenterol 3:216 doi:10.1136/flgastro-2011-100081
  • Case reports

The white nipple sign

  1. Chee Lim2
  1. 1Gastroenterology Department, University Hospitals Coventry and Warwickshire, Coventry, UK
  2. 2Gastroenterology Department, Good Hope Hospital, Sutton Coldfield, UK
  1. Correspondence to Rangarajan Kasturi, Gastroenterology Department, University Hospitals Coventry and Warwickshire, Clifford Bridge Road, Coventry CV2 2DX, UK; drkasturi{at}doctors.org.uk
  1. 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

Abstract

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

Footnotes

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.