The patient was referred to the radiology department for pigtail tube insertion, after tube insertion pus came out. Her septicaemia was dramatically reduced with total leucocytes counts reaches from initial 22,000 /mm³ to 9,000 /mm³. After 4 days of pigtail insertion, cholecystectomy was done. Histopathology and surgical team confirms acalculous cholecystitis. No postoperative complications was noted. After 1 month follow up patient remained in good condition.