Friday, May 7, 2010

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Courvoisier's law

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It states that in a case of painless jaundiced patient, if the gall bladder is palpable, stone pathology is ruled out. This is because stone formation is a long standing process and this leads to fibrosis. A fibrotic gall bladder is not usually palpable. The causes are more likely to be a ca of pancreas, ca of ampulla of Vater or a cholangiocarcinoma.

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