Courvoiser's law exception is
Ans. (a) Double impactionRef: Long cases in Surgery RRMAs per law" In obstructive jaundice if GB is palpable it is due to Cancer and if not, palpable it is due to stones"Exceptions to Courvoisier law:* Double impaction of stone- One at Cystic Duct and another at CBD (Where GB is palpable)* Hilar Cholangiocarcinoma (Where GB is not palpable)
Double impaction
Portal lymphadenopathy
Periampullary CA
None
Gall Bladder & Bile Ducts