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      1 2 › 2

      2 Endoscopy
      L Colon IBD and other diseases
      6 Radiology
      volvulus, derotation, coffee bean, u sign

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      Author: LISI Daniele Roma Italy

      In sigmoid volvulus patients, colonoscopic derotation is the most commonly applied approach as the first line treatment.

      Radiological findings that indicate presence of a volvulus include marked distension of large bowel, “bird beak” sign, “whirl” sign, “coffee bean,” and inverted “U” sign (the latter 2 presented exclusively in sigmoid volvulus). Whirl sign is better recognized in dynamic review of CT scan (see video at YOUTUBE link    https://youtu.be/loElhZckpdk  )

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