<prompt> Coffee bean appearance is seen with:Testicular torsionVolvulusMeconium ileusIleal atresia  <response>: 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 birds beak Ref: Schwazs principle of surgery 9th edition, chapter 29. 