Question 1854
{"accessible":true,"alternatives":[{"id":9208,"text":"bird beak sign"},{"id":9209,"text":"coffee-bean sign"},{"id":9210,"text":"Frimann-Dahl sign"},{"id":9211,"text":"northern exposure sign"},{"id":9212,"text":"whirlpool sign"}],"archived":false,"correctAlternativeId":9208,"explanation":"\u003cp\u003eThe Gastrografin enema spot image shows a\u0026nbsp;\u003ca href=\"/articles/bird-beak-sign-sigmoid-colon\"\u003ebird beak sign\u003c/a\u003e which represents abrupt cut-off at the site of obstruction, with a beak-like projection of contrast pointing towards the site of obstruction. This sign is seen when the contrast is administered per rectum.\u003c/p\u003e","id":1854,"imageUrl":"https://prod-images-static.radiopaedia.org/images/53929073/20201123_184322_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":84399},"imageAttributionCaseInfo":{"title":"Sigmoid volvulus - bird beak sign","contributor_name":"Pir Abdul Ahad Aziz Qureshi","contributor_param":"abdulahad","case_rid":84399,"case_param":"sigmoid-volvulus-bird-beak-sign"},"firstQuestionPath":"/questions/2011","nextQuestionPath":"/articles/bird-beak-sign-sigmoid-colon/questions/266","relatedArticles":[{"id":40965,"title":"Frimann-Dahl sign","link":"/articles/frimann-dahl-sign-1?lang=us"},{"id":8491,"title":"Whirlpool sign (mesentery)","link":"/articles/whirlpool-sign-mesentery?lang=us"},{"id":1145,"title":"Coffee bean sign (sigmoid colon)","link":"/articles/coffee-bean-sign-sigmoid-colon-1?lang=us"},{"id":35066,"title":"Northern exposure sign (sigmoid volvulus)","link":"/articles/northern-exposure-sign-sigmoid-volvulus?lang=us"}],"alsoUsedIn":[],"stem":"\u003cp\u003eA 50-year-old\u0026nbsp;male presented to the emergency department with complaints of absolute constipation and diffuse abdominal pain. He underwent x-ray abdomen in the ER which raised suspicion for sigmoid volvulus. Subsequently, a Gastrografin enema examination was performed - spot image shown.\u003c/p\u003e\u003cp\u003eWhich of the following signs of sigmoid volvulus is shown on the provided image?\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1854"}],"attemptsPercentages":[{"alternativeId":"9211","percentage":3},{"alternativeId":"9212","percentage":13},{"alternativeId":"9210","percentage":8},{"alternativeId":"9208","percentage":70},{"alternativeId":"9209","percentage":6}],"promptToLogin":false,"questionManager":false,"articleId":"bird-beak-sign-sigmoid-colon"}