Presentation
Right upper quadrant mass with painless jaundice.
Patient Data
Distended gallbladder and common bile duct to the level of the pancreatic head, where there is a mass.
Distended gall bladder and biliary tree down to the distal end where there is a small (3 cm) pancreatic head mass. Note also pancreatic duct enlargement.
Case Discussion
Courvoisier sign states that in the presence of an enlarged gallbladder which is non-tender and accompanied by jaundice, the cause is unlikely to be gallstones and suspicious for pancreatic/periampullary malignant mass obstructing distal CBD. Here we have the CT and US correlates.
It is usually used to describe the physical examination finding of a painless right-upper quadrant mass in the abdomen in a jaundiced patient.
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