Question 206 · LEK · Surgery of the bile ducts and gallbladder

A surgeon, after consultation, stated that the patient had Courvoisier syndrome. It means:

  1. A. there is no dullness over the liver during percussion (probable perforation of the digestive tract).
  2. B. significant distention of the sigmoid colon - suspicion of a torsion.
  3. C. abdominal guarding in the left lower abdomen (probable diverticulitis).
  4. D. distended, painless gallbladder with accompanying jaundice.
  5. E. pelvic resistance during rectal examination (outside the rectum).
Hint

Recall the eponymous law about a palpable gallbladder in a jaundiced patient and what it implies about the cause of obstruction.

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