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.

Charlie Goldberg, M.D. - UCSD Catalog of Clinical Images

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