Gorelik Oleg, Shteinschnaider Miriam, Cohen Natan, Almoznino-Sarafian Dorit
Department of Internal Medicine F, Assaf Harofeh Medical Center, Zerifin affiliated to Sackler Faculty of Medicine, Tel Aviv University, Ramat Aviv.
Harefuah. 2013 Sep;152(9):516-7, 565.
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.
1890年，瑞士外科医生路德维希·库瓦西耶描述了库瓦西耶征。该体征表现为无痛性黄疸伴有可触及的无压痛胆囊。库瓦西耶征的病理生理机制是由恶性肿瘤、结石或其他罕见病因导致的胆道梗阻。我们报告一例81岁男性，患有胰腺恶性肿瘤并伴有胆总管梗阻。后者导致胆囊既可以被触及又可以看见。本文讨论了这种极其罕见的库瓦西耶征变异型的各个方面。
