Coffee bean sign in a preterm neonate on an abdominal X-ray | Article

for neonatal and paediatric healthcare professionals

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Keywords

sigmoid volvulus; necrotising enterocolitis (NEC); clinico-radiological correlation

Key points

The ‘coffee bean sign’ is a classical radiological presentation of a sigmoid volvulus, however this did not fit with the clinical presentation and stability of the baby in this case.
While the coffee bean sign might be a sign of sigmoid volvulus in older children and adults, X-ray appearances in preterm infants are often not ‘classic’ and may present unusual findings.
This case highlights the importance of clinical and radiological correlation.

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VOLUME 1/ISSUE 1, JANUARY 2005

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