FINAL DIAGNOSE CASE-9

  FINAL DIAGNOSE CASE-9 (FB & INSTA)

The X-ray image you provided shows a classic "coffee bean sign" in the left side of the abdomen, indicated by the red arrows. This radiological sign is highly suggestive of:

Diagnosis: Sigmoid Volvulus

Explanation:


  • The coffee bean sign represents a massively dilated loop of sigmoid colon that has twisted on its mesentery, creating the shape of a coffee bean.
  • The central cleft of the "bean" points towards the site of the torsion.
  • The gas-filled, dilated colon displaces surrounding structures.

Key Features on the X-ray:

  • The dilated loop of bowel with a central longitudinal cleft.
  • The apex of the loop typically points to the right upper quadrant (but in this case, it appears left-dominant).
  • Absence of gas in the rectum.
  • Possible "kidney-shaped" appearance of the loop.

Next Steps:

  • Confirm with CT abdomen (may show “whirl sign”).
  • Endoscopy.        
NOTE- THIS IMAGE GENERATED BY META AI.. SO FINDING NOT BE TO CLEARLY.

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