Findings

Note the markedly distended veins in the distal esophagus.

Impression

Esophageal varices

Clinical Pathologic Correlation
Esophageal varices are one of the major complications of cirrhosis. With increased mechanical resistance, portal venous blood is diverted through collateral routes, e.g. esophageal, hemorrhoidal, splenic, and umbilical veins. Massive hemorrhage often results from esophageal varices with serious consequences.

Preparation

Fresh

View

Gross photograph

Specimen

Esophagus

Image Credit

Katsumi M. Miyai, M.D., Ph.D
Department of Pathology
School of Medicine
University of California, San Diego