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Transverse colon volvulus presenting as ‘inverted’ coffee-bean sign
  1. Ming-Huei Chen,
  2. Chia-Man Chou,
  3. 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}

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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 …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.