famously known as the Courvoisier's law, Courvoisier syndrome, or Courvoisier's sign or Courvoisier-Terrier's sign (koor-vwah-zee-aye), has been subjected to changes in wording, phrasing and grammar from time to time, and these changes have redefined the definition originally put forward by the “safe surgeon”, and it is now
The Courvoisier sign A 60-year-old woman has had jaundice, dark-colored urine, and light-colored stools for the past several days She has no his-tory of jaundice or gallstone disease With the exception of a palpable gallblad-der, the physical examination of the abdomen is unremarkable Computed tomography of
1 Courvoisier v Raymond 1 different from assault and battery in that mistake can be a defense in self-defense 1 even accidental harming of third-person is not actionable unless D realizes or should have realized that the act creates an unreasonable risk of causing such harm 2 This is different from Roman Law 2 necessary elements
Exception to Courvoisier's law (in 20 of cases) a) Calcular obstructive jaundice with palpable G B : 1 Metabolic stone with a healthy distensible G B 2 Stone in C B D & another stone in cystic duct ~ mucocele 3 A stone of Hartmann's pouch obstructing both cystic duct and C B D (Mirrizi syndrome)