Coffee bean appearance is seen with:: (A) Testicular torsion, (B) Volvulus, (C) Meconium ileus, (D) Ileal atresia
Answer is B. Sigmoid volvulus produces a characteristic bent inner tube or coffee bean appearance, with the convexity of the loop lying in the right upper quadrant. Gastrografin enema shows a narrowing at the site of the volvulus and a pathognomonic bird's beak Ref: Schwaz's principle of surgery 9th edition, chapter 29.