Courvoisier's law

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Courvoisier's law
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Palpable Gall Bladder
Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]


Courvoisier's law (or Courvoisier syndrome, or Courvoisier's sign) states that in the presence of a palpable gall bladder, jaundice is unlikely to be caused by gallstones. This is because gallstones are formed over a longer period of time, and this results in a shrunken, fibrotic gall bladder which does not distend easily. Therefore the gall bladder is more often enlarged in pathologies that cause obstruction of the biliary tree over a shorter period of time such as pancreatic malignancy.[1]

It is named for Ludwig Georg Courvoisier.[2]

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)

References

  1. Parmar MS (2003). "Courvoisier's law". CMAJ. 168 (7): 876–7. PMC 151998. PMID 12668550. Unknown parameter |month= ignored (help)
  2. synd/2065 at Who Named It

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de:Courvoisier-Zeichen



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