Courvoisier sign

Classification according to ICD-10
R17	Jaundice, unspecified
ICD-10 online (WHO version 2019)

The Courvoisiers character (after the Swiss surgeons Ludwig Georg Courvoisiers ) is a clinical sign , that a palpable ( palpation perceptible), resiliently-bulging filled gall bladder in combination with a ( On inspection ) recognizable jaundice , respectively. In contrast to the Murphy's sign , the gallbladder is not painful because the Courvoisier's sign is usually a chronic event.

Courvoisier's mark is usually caused by a tumor-related occlusion of the bile duct , usually as a result of pancreatic carcinoma or bile duct carcinoma .

Rare differential diagnoses in Courvoisier's signs are: obstruction of the bile duct by a gallstone (painless choledocholithiasis ), scarred changes in the major duodenal papilla (so-called papillitis stenosans ) or a stricture of the bile duct in primary sclerosing cholangitis .

literature

1. ↑ A. Sturm, W. Zidek: Differential diagnosis internal medicine. From the main symptom to diagnosis. Thieme-Verlag 2003, ISBN 3-13-139571-0

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !