Abstract
Introduction: Presence of Courvoisier's or double duct signs in a jaundiced patient is suggestive of malignant obstruction of the pancreaticobiliary ductal system. The oncologic impact of the simultaneous occurrence of these signs on the survival of patients with periampullary cancer is unknown. Method: We report a case of obstructive jaundice secondary to an ampullary cancer demonstrating the Courvoisier's sign on clinical examination and a double duct sign on imaging. The patient underwent a pancreaticoduodenectomy which confirmed an ampullary adenocarcinoma. Result: Biductal obstruction of the CBD and MPD may result in the Courvoisier's and/or double duct signs and the diagnostic value of these signs in the evaluation of a patient with obstructive jaundice is widely accepted. Conclusion: The impact of the simultaneous occurrence of the Courvoisier's and double duct signs on survival outcome is unknown and an area for future investigation.
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