Courvoisier’s Gallbladder: Law or Sign?
@article{Fitzgerald2008CourvoisiersGL, title={Courvoisier’s Gallbladder: Law or Sign?}, author={James Edward Frankland Fitzgerald and Matthew J. White and Dileep N. Lobo}, journal={World Journal of Surgery}, year={2008}, volume={33}, pages={886-891} }
BackgroundVariously described as Courvoisier’s law, sign, or even gallbladder, this eponymous “law” has been taught to medical students since the publication of Courvoisier’s treatise in 1890.MethodsWe reviewed Courvoisier’s original “law,” the modern misconceptions surrounding it, and the contemporary evidence supporting and explaining his observations.ResultsCourvoisier never stated a “law” in the context of a jaundiced patient with a palpable gallbladder. He described 187 cases of common…
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References
SHOWING 1-10 OF 20 REFERENCES
Pathogenesis of the “Courvoisier gallbladder”
- MedicineDigestive Diseases and Sciences
- 2005
The data of this study support the alternative explanation that chronically increased ductal pressure is the probable cause of dilated gallbladders seen in malignant obstruction of the common duct.
Assessment of Courvoisier's law.
- MedicineSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association
- 1999
With the new imaging technology, Courvoisier's Law may be applied to any obstruction of the distal common bile duct below the cystic duct, the ampulla of Vater, and the head of pancreas, which may be caused by malignancy in 87% and inflammation and lithiasis in 13%.
It's not the law
- MedicineCanadian Medical Association Journal
- 2004
This point is made in a wonderful short review of the phenomenon, and of Courvoisier's important place in the history of medicine, which was published 17 years ago by Verghese and associates.
Courvoisier's Gallbladder
- Medicine
- 2001
A 55-year-old man with a one-month history of painless jaundice had a markedly enlarged gallbladder, extending far below the costal margin, and a pylorus-sparing Whipple's procedure was performed, and the patient recovered without serious complications.
Bile-duct cyst with cystlithiasis: a case report.
- MedicineCanadian journal of surgery. Journal canadien de chirurgie
- 1984
The case of a 60-year-old woman with congenital cystic dilatation of extra- and intrahepatic bile ducts with cystlithiasis that followed an unusual course is described.
Courvoisier's sign revisited: two patients with palpable gallbladder.
- MedicineSouthern medical journal
- 1992
Two patients with newly described conditions--AIDS-associated cholangiopathy and diet-induced cholecystitis--who had a palpable gallbladder are described and possible pathogenetic mechanisms are discussed.
Gallbladder volume in patients with common hepatic duct dilatation. An evaluation of Courvoisier's sign using ultrasonography.
- MedicineScandinavian journal of gastroenterology
- 1994
It is hypothesized that the gallbladder volume is irrelevant in differentiating the nature of the biliary tract dilatation and that thegallbladder size is dependent on the degree of biliary obstruction when the gall Bladder is not afflicted by fibrosis.
Parasitic diseases of the biliary tract.
- MedicineAJR. American journal of roentgenology
- 2007
Typical imaging findings of clonorchiasis and opisthorchiasis include visualization of adult flukes in the bile ducts and gallbladder, diffuse dilatation of the peripheral small intrahepatic bille ducts with no or minimal dilatations of the large biliary ducts, and thickening of the biles duct wall.
Autoimmune pancreatitis in a patient presenting with obstructive jaundice and pancreatic mass.
- MedicineHPB : the official journal of the International Hepato Pancreato Biliary Association
- 2004
Recognition of the disease by its typical radiological and serological findings permits trial of steroid therapy and may avoid resection.
Should eponyms be abandoned? Yes
- MedicineBMJ : British Medical Journal
- 2007
It is argued that eponyms are no longer appropriate, but Judith A Whitworth believes they remain a useful reflection of medical history.