Sigmoid volvulus presents as an inner tube or with a coffee bean sign with convexity to the right upper quadrant (RUQ) (opposite side of the obstruction).
An abdominal X-rays was obtained, in which the coffee bean sign was observed with convexity to the diaphragm (Figure 1a).
His abdominal X-ray showed the coffee bean sign in the RUQ section with upward convexity (Figure 2a).
Turkdogan, "Coffee bean sign, whirl sign and bird's beak sign in the diagnosis of sigmoid volvulus," The Pan African Medical Journal, vol.
Wu, "Acute abdomen with coffee bean sign," Emergency Medicine Journal, vol.
(81) The
coffee bean sign has also been used to describe small-bowel, closed-loop obstructions.