Coffee-bean sign: Classic sign of sigmoid volvulus

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Coffee bean sign, whirl sign and bird's beak sign in the diagnosis of sigmoid volvulus

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The coffee bean sign

An 89-year-old woman presented to our emergency department (ED) with a 4-day history of abdominal pain and vomiting. The physical exam revealed hypotension and a distended abdomen with generalized tenderness. Laboratory studies revealed hyperkalemia and elevated creatinine, lactate, and troponin. Given her hemodynamic instability, an emergent noncontrast abdominal computed tomography (CT) was o...

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A Symptomatic Coffee Bean: Acute Sigmoid Volvulus

An acute sigmoid volvulus is due to the torsion of the sigmoid colon around its mesenteric axis. It mainly occurs in elderly patients and represents an abdominal emergency requiring urgent treatment. A 53-year-old male patient with severe craniocerebral injury and traumatic subarachnoidal bleeding 3 weeks prior presented on the ward with distended abdomen without abdominal pain, muscular defens...

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ژورنال

عنوان ژورنال: CHRISMED Journal of Health and Research

سال: 2018

ISSN: 2348-3334

DOI: 10.4103/cjhr.cjhr_14_18