Related Experiment Video
Updated: May 4, 2026

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
Published on: May 2, 2025
[Visible Courvoisier's sign: a rare presentation of bile duct obstruction]
Oleg Gorelik1, Miriam Shteinschnaider1, Natan Cohen1
1Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
Abstract:
Courvoisier's sign was described by a Swiss surgeon Ludwig Courvoisier in 1890. The sign is represented by the presence of painless jaundice with a palpable non-tender gallbladder. The pathophysiological mechanism of Courvoisier's sign is the obstruction of the bile tract caused by malignancy, stones or other rare etiologic factors. We describe an 81-year-old man with malignant neoplasm of the pancreas complicated by common bile duct obstruction. The latter leads to both a palpable and visible gallbladder. Various aspects of this extremely rare variant of Courvoisier's sign are discussed.
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