Question 1070
{"accessible":true,"alternatives":[{"id":5361,"text":"A"},{"id":5362,"text":"B"},{"id":5363,"text":"both"},{"id":5364,"text":"neither"}],"archived":false,"correctAlternativeId":5362,"explanation":"\u003cp\u003e\u003cstrong\u003ePatient A\u003c/strong\u003e has a \u003ca title=\"Sigmoid volvulus\" class=\"internal\" href=\"/articles/sigmoid-volvulus\"\u003esigmoid volvulus \u003c/a\u003ewith\u0026nbsp;typical three lines representing the walls of the sigmoid seen. This is known as the\u0026nbsp;\u003ca title=\"Frimann-Dahl sign\" class=\"internal\" href=\"/articles/frimann-dahl-sign-1\"\u003eFrimann-Dahl sign\u003c/a\u003e or \u003ca title=\"Coffee bean sign\" class=\"internal\" href=\"/articles/coffee-bean-sign-sigmoid-colon\"\u003ecoffee bean appearance\u003c/a\u003e. In addition, the more proximal portions of the large bowel are seen to be distended (descending colon, transverse colon) and the cecum can be seen in the correct position which further assists in confirming the diagnosis of sigmoid volvulus. \u003cstrong\u003ePatient B\u003c/strong\u003e has a \u003ca title=\"Caecal volvulus\" class=\"internal\" href=\"/articles/caecal-volvulus\"\u003ececal volvulus\u003c/a\u003e with a single large distended gas filled viscus in the central abdomen with a horizontal fold. The lack of any gas distending the rest of the\u0026nbsp;large bowel, and the lack of a cecum visible in its normal position further assist in making the diagnosis of cecal volvulus.\u0026nbsp;\u003c/p\u003e\u003cp\u003e\u003cstrong\u003eFrom:\u003c/strong\u003e\u0026nbsp;\u003ca href=\"https://radiopaedia.org/courses/radiology-review-course-online\"\u003eRadiology Review Course - Online\u003c/a\u003e\u003c/p\u003e","id":1070,"imageUrl":"https://prod-images-static.radiopaedia.org/multiple_choice_questions/679/images-for-mcqs-2-5_big_gallery.jpeg","imageAttribution":{"kind":"external","attribution":"Case A: Sigmoid volvulus (rID: 5575) contributed by Jeremy Jones. Case B: Caecal volvulus (rID: 22692) contributed by Mark Holland."},"imageAttributionCaseInfo":null,"firstQuestionPath":"/questions/2011","nextQuestionPath":"/articles/caecal-volvulus/questions/295","relatedArticles":[{"id":6398,"title":"Sigmoid volvulus","link":"/articles/sigmoid-volvulus?lang=us"},{"id":62061,"title":"Sigmoid volvulus vs cecal volvulus","link":"/articles/sigmoid-volvulus-vs-caecal-volvulus-1?lang=us"}],"alsoUsedIn":[{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2019/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2018/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - Melbourne - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-melbourne-2020/pages/232"},{"id":232,"kind":"Course","title":"Radiology Review Course - page 232","link":"https://radiopaedia.org/courses/radiology-review-course-online/pages/232"},{"id":1412,"kind":"Course","title":"Emergency Radiology Course - page 1412","link":"https://radiopaedia.org/courses/emergency-radiology-course-online/pages/1412"},{"id":1412,"kind":"Course","title":"Emergency Radiology Course - Melbourne - page 1412","link":"https://radiopaedia.org/courses/emergency-radiology-course-melbourne-2022/pages/1412"},{"id":1412,"kind":"Course","title":"Emergency Radiology Course - Brisbane - page 1412","link":"https://radiopaedia.org/courses/emergency-radiology-course-brisbane-2022/pages/1412"}],"stem":"\u003cp\u003eWhich patient has a cecal volvulus?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1070"}],"attemptsPercentages":[{"alternativeId":"5363","percentage":12},{"alternativeId":"5364","percentage":4},{"alternativeId":"5361","percentage":19},{"alternativeId":"5362","percentage":65}],"promptToLogin":false,"questionManager":false,"articleId":"cecal-volvulus"}