This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
A plain abdominal X-ray in a patient with a sigmoid volvulus will show a distended bowel loop with its apex in 
Select and explain. 
A. Right iliac fossa, B. Left iliac fossa, C. Lt. hypochondrium, D. Rt. Hypochondrium
D: Rt. Hypochondrium
Answer: D: Rt. Hypochondrium 
Explanation: Plain Xray abdomen finding in Sigmoid Volvulus 1. Characteristic bent inner tube or coffee bean appearance with convexity of loop lying in the right upper quadrant (opposite to the site of obstruction) 2. Contrast study (gastrografin enema) - bird beak appearance i.e. narrowing at the site of voivulus.