Comments on the Coffee Bean Sign and Visual Inspection

We read with interest the article by Mizumoto about the coffee bean sign finding on inspection that developed as a result of sigmoid volvulus in an 87-year-old male patient.1 It was previously reported that the visibility of peristalsis on inspection was 31.9% in endemic and 7.3% in sporadic areas.2 As mentioned by Mizumoto, careful physical examination is important in general surgery practice and can be especially effective in diagnosing elderly patients with debility and neurological disease. Turkey is an endemic region for sigmoid volvulus.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Letter Source Type: research