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CASE REPORT
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 148-150

An unusual finding of Courvoisier sign: Gallstone with locally advanced carcinoma gallbladder


Department of General Surgery, Dr. Mehta Hospital Global Campus, Chennai, Tamil Nadu, India

Correspondence Address:
Jayabal Pandiaraja
26/1, Kaveri Street, Rajaji Nagar, Villivakkam, Chennai - 600 049, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcrsm.jcrsm_83_20

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Courvoisier sign is one of the important clinical signs used in the diagnosis of hepatobiliary disease. According to this sign, when the gallbladder is palpable in a jaundiced patient, it is unlikely due to stone. There are exceptions for Courvoisier signs such as double impacted stone, oriental cholangitis, and AIDS-associated cholangiopathy. In our case, there is a gallstone with palpable gallbladder due to concurrent occurrence of gallstone with gallbladder carcinoma compressing the adjacent biliary tree.


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