Acute cholecystitis refers to the acute inflammation of the gallbladder. It is the primary complication of cholelithiasis and the most common cause of acute pain in the right upper quadrant .

The main complications of acute cholecystitis include the following¹:

• emphysematous cholecystitis

• hemorrhagic cholecystitis 

• pericholecystic abscess (this case) : as a result of a perforation of the gallbladder wall; hepatic abscesses can also occur

At surgery the diagnosis of cholecystitis with perforation and an intrahepatic abscess was confirmed.