title: [Visible Courvoisier's sign: a rare presentation of bile duct obstruction].
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.
authors.affiliation: Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
authors.forename: Oleg
authors.initials: O
authors.lastname: Gorelik
authors.affiliation: Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
authors.forename: Miriam
authors.initials: M
authors.lastname: Shteinschnaider
authors.affiliation: Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
authors.forename: Natan
authors.initials: N
authors.lastname: Cohen
authors.affiliation: Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
authors.forename: Dorit
authors.initials: D
authors.lastname: Almoznino-Sarafian
mesh_terms: D000369:Aged, 80 and over; D002779:Cholestasis / Q000175:diagnosis* / Q000473:pathology; D003135:Common Bile Duct / Q000473:pathology*; D005704:Gallbladder / Q000473:pathology; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000473:pathology*