Liver overlap sign (sigmoid volvulus)

Last revised by Ibrahim M. Jubarah on 19 Jan 2022

The liver overlap sign can be seen in sigmoid volvulus wherein the sigmoid loop is seen, usually on an abdominal radiograph, ascending to the right upper quadrant and projecting over the liver shadow.

In one study of 21 patients with confirmed sigmoid volvulus, the sign was present in 9 patients (43%) 1.

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