Courvoisier's gallbladder

System: Abdominal & Digestive Signs · All abdominal & digestive signs

What it is — and how it is elicited

A gallbladder that can be felt as a smooth, non-tender swelling below the right rib cage in a patient with painless jaundice — Courvoisier's law holds that this is unlikely to be due to gallstones.

What a positive finding suggests

Associated with obstruction of the bile duct by a tumour, classically of the pancreatic head, rather than by stones.

◈ Behind the name

Ludwig Georg Courvoisier (1843–1918), Swiss surgeon.

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Please note: This page is an educational reference about clinical examination signs. A clinical sign supports — and never replaces — a full clinical evaluation, examination and appropriate testing. A sign being present does not by itself prove a diagnosis, and an absent sign does not rule one out. If you have symptoms that worry you, see a health professional.