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The kidney bean sign (more commonly called the coffee bean sign; also bent inner tube sign) is a radiologic sign observed on abdominal radiographs that indicates the presence of a sigmoid volvulus, a form of bowel obstruction. It is seen as an area of hyperlucency resembling a coffee bean. [1]
Histologically, there are nests of transitional epithelial cells with longitudinal nuclear grooves (coffee bean nuclei) lying in abundant fibrous stroma. The coffee bean nuclei are the nuclear grooves exceptionally pathognomonic to the sex cord stromal tumour, the ovarian granulosa cell tumour, with the fluid-filled spaces Call–Exner bodies ...
Bird of prey sign; Bite sign; Black pleura sign; Blade of grass sign (also known as Flame sign) Blumensaat's line; Bohler's angle; Bone-within-a-bone appearance; Boomerang sign; Bow tie appearance; Bowl of grapes sign; Bowler hat sign; Brim sign; Bucket handle tear; Bulging fissure sign; Bunches of grapes sign (hepatic abscess) Bunch of grapes ...
After taking a thorough history, the diagnosis of colonic volvulus is usually easily included in the differential diagnosis. Abdominal plain x-rays are commonly confirmatory for a volvulus, especially if a coffee bean sign is seen. These refer to the shape of the air-filled closed loop of colon which forms the volvulus.
No screening test is wholly specific, and a high level of tumor marker can still be found in benign tumors. The only tumor marker currently used in screening is PSA (prostate-specific antigen). Diagnostics; Tumor markers alone can't be used for diagnostic purposes, due to lack of sensitivity and specificity. [4]
In children, abdominal x-ray is indicated in the acute setting: Suspected bowel obstruction or gastrointestinal perforation; Abdominal x-ray will demonstrate most cases of bowel obstruction, by showing dilated bowel loops. [1] Foreign body in the alimentary tract; can be identified if it is radiodense. [1] Suspected abdominal mass [1]
A radiologic sign is an objective indication of some medical fact (medical sign) or quality that is detected by a radiologist during examination of a radiograph. Subcategories This category has only the following subcategory.
Histologically, these tumors consists of monotonous islands of granulosa cells with "coffee-bean" nuclei. That same nuclear groove appearance noted in Brenner tumour , an epithelial-stromal ovarian tumor distinguishable by nests of transitional epithelial cells (urothelial) with longitudinal nuclear grooves (coffee bean nuclei) in abundant ...