Shell turriculated and siphonated, thick, each whorl with varices; foot broad and truncated anteriorly; pallial siphon well developed; proboscis present.
Shell ventricose, with short spire, and wide aperture; no varices and no operculum; foot very broad, with projecting anterior angles; siphon long.
Portal hypertension and its consequence of bleeding varices are usually seen in people with moderately advanced liver disease.
Not everyone who has varices and who bleeds will be bleeding from varices.
That revealed varices in the lower part of her esophagus which would fit in with a diagnosis of primary biliary cirrhosis.