Comment

Palpable Gall Bladder: Cholangiocarcinoma has caused patient's gall bladder to become markedly dilated, and therefore, easily palpable (A). Note skin is also jaundiced due to biliary tract obstruction. CT sagital image demonstrates dilated gall bladder (B), dilated common bile duct (C), and dilated intrahepatic ducts (D). Courvoisier described the same findings in patients with pancreatic cancer.

Image Credit

Charlie Goldberg, M.D.