Diagnosis: Esophageal Varices (Fluoroscopy)

Discussion:

  • Esophageal varices are dilated submucosal veins of the esophagus due to the development of collateral drainage vessels
  • Esophageal varices are typically seen in setting of portal hypertension
  • In patients with esophageal varices, they can present with signs of upper GI bleed; hematemesis or melena
  • On fluoroscopy on barium swallow, there will be filling defects that are serpiginous and longitudinal

Credit: Case submitted by Saeed Rad MD to radRounds Radiology Network