# White nipple sign (esophageal varices)



A 62-year-old woman came to our hospital for a follow-up upper digestive endoscopy.
The patient gave a history of chronic liver disease and a follow-up endoscopy for the banding of esophageal varices. The scope revealed a white nipple sign in one of the esophageal varices.
Do you know what the white nipple sign is and what is its significance?





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