Courvoisier’s law (or Courvoisier syndrome, or Courvoisier’s sign or Courvoisier-Terrier’s sign) states that in the presence of an enlarged gallbladder which is nontender and accompanied with mild jaundice, the cause is unlikely to be gallstones. Usually, the term is used to describe the physical examination finding of the right-upper quadrant of the abdomen. This sign implicated possible malignancy of the gall bladder or pancreas and the swelling is unlikely due to gallstones.

This was a 55 year old man with history of jaundice and upper abdominal pain .

GROSSLY DISTENDED GALL BLADDER

TOO MANY TUBES SIGN SUGGESTIVE OF BILIARY OBSTRUCTION

TOO MANY TUBES IN THE RT LOBE OF LIVER

TOO MANY TUBES WITH DISTENDED GB

DILATED COMMON BILE DUCT

MASS LESION IN THE HEAD OF THE PANCREAS

MASS IN THE HEAD OF THE PANCREAS

3 D RECONSTRUCTION OF MASS IN THE PANCREAS