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Arch Dis Child 97:123 doi:10.1136/archdischild-2011-301124
  • Images in paediatrics

Transverse colon volvulus presenting as ‘inverted’ coffee-bean sign

  1. Chieh-Chung Lin
  1. Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan
  1. Correspondence to Dr Chieh-Chung Lin, Department of Pediatrics, Taichung Veterans General Hospital, No 160, Sec. 3, Chung-Kang Road, Taichung, Taiwan; minghuei70{at}yahoo.com.tw
  • Received 30 September 2011
  • Accepted 24 October 2011
  • Published Online First 10 November 2011

A 12-year-old boy with cerebral palsy had a history of fever, diarrhoea and progressive bilious vomiting for 2 days. Physical examination revealed absent bowel sounds and peritoneal sign. An abdominal plain film showed a ‘V-shaped’ loop of the dilated large intestine with the apex pointing ‘downward’ (figure 1), rather than the typical …