Coffee bean sign in a preterm neonate on an abdominal X-ray
A preterm male infant presented with abdominal distension and palpable bowel loops at 27 days of life. An abdominal X-ray showed a ‘coffee bean’ appearance of the bowel and raised the possibility of a sigmoid volvulus. Subsequent abdominal X-rays showed resolution of the coffee bean but the presence of intramural gas, and thus the infant was managed conservatively for necrotising enterocolitis. In this case a careful clinical evaluation with early imaging and multidisciplinary team discussion played an important role in ruling out sigmoid volvulus.
Vikranth Bapu Anna Venugopalan
Ahmed Abdulaziz Omar Ahmed
Advanced Neonatal Nurse Practitioner
Birmingham City Hospital, Sandwell and West Birmingham Hospitals NHS Trust
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