by The coffee bean sign is a radiological sign used to describe the twisting of the sigmoid colon about its mesenteric axis, mimicking the picture of a coffee bean. Physicians should be aware of this sign and when it is present, they should consider emergency intervention, since sigmoid volvulus is a potentially life‐threatening condition.. Sigmoid volvulus is a cause of large bowel obstruction and occurs when the sigmoid colon twists on its mesentery, the sigmoid mesocolon. Epidemiology Large bowel volvulus accounts for ~5% of all large bowel obstructions, with ~60% of intestinal.
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Sigmoid volvulus with coffee bean sign as seen on abdominal X-ray. Sigmoid volvulus is due to a twist at the base of the sigmoid mesentery which is a fixed position in the left iliac fossa.. ‘COFFEE BEAN’ SIGN AND ‘WHIRL’ SIGN The preliminary view on abdominal computed tomography (CT) showed a distended sigmoid loop with an inverted U-shape, also known as the coffee bean sign, bent innertube sign, or kidney bean sign (Figure 1). This feature was also seen on plain abdominal radiography. In addition, the CT coronal view revealed the whirl sign, representing twisted bowel.
