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The white nipple sign
  1. Rangarajan Kasturi1,
  2. Nishant Patodi2,
  3. Mohammed Monzur Ahmed2,
  4. 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}


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

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  • Competing interests None.

  • Patient consent Obtained.

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

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