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1

courvoisier terrier sign

A doctor felt the gallbladder of a patient with jaundice caused by a tumor in the lower part of the bile duct. The patient did not feel any pain. Pancreatic cancer can make it impossible to feel the pancreas during an examination.

2

courvoisier terrier sign

In a patient with jaundice, the gallbladder can be felt by touch and it does not hurt. This is a sign that something is blocking the tube that connects the gallbladder to the common bile duct, which is often caused by a type of cancer in the head of the pancreas.

3

courvoisier terrier sign

Gently touching the gallbladder when it is swollen without causing any pain.

4

courvoisier terrier sign

If someone has a tumor in their pancreas or the area around it, they may feel pain in their right upper abdomen and right shoulder when their gallbladder is pressed on.

5

courvoisier terrier sign

Courvoisier and Terrier were two French doctors who discovered that the pancreas can be felt during a physical examination. This finding is called the Courvoisier-Terrier sign. Acute pancreatitis and pancreatic head cancer can also cause the pancreas to be felt during a physical exam.

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