This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Large intestine, Subject name: Surgery
[{'content': "A multipara patient was brought to the emergency with signs and symptoms of small bowel obstruction. After resuscitation, X-ray was performed and the findings are given below. What is the most probable diagnosis? \nSelect and explain. \nA. Adhesive small bowel obstruction, B. Crohn's disease, C. Obstructed hernia, D. Cecal volvulus", 'role': 'user'}, {'content': 'Answer: D \nExplanation: X-ray: kidney- Bean sign | Cecal volvulus Cecal volvulus: Misnomer Ileoceco-colic volvulus Small bowel obstruction S/S Predisposing factors: Multiparity Ligament dividing Sx - for mobile cecum Malrotation Distal obstructing lesion X-ray findings Kidney bean sign Comma shaped cecum Mx: Ileocolectomy + Ileotransverse anastomoses', 'role': 'assistant'}]