Courvoisier sign - CT and US correlates

Case contributed by Dr Chris O'Donnell


Right upper quadrant mass with painless jaundice

Patient Data

Age: 75
Gender: Male

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

This law or sign states that in the presence of an enlarged gallbladder which is nontender and accompanied by jaundice, the cause is unlikely to be gallstones. Usually it is used to describe the physical examination finding of a right-upper quadrant mass in the abdomen in a jaundiced patient. This sign thus implicates malignancy of the pancreas as the likely underlying pathology. Here we have the CT and US correlates.

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Case information

rID: 19227
Published: 18th Aug 2012
Last edited: 17th Nov 2015
Inclusion in quiz mode: Included

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