Gallbladder perforation is a relatively rare complication related to acute cholecystitis. It can carry a relatively high mortality rate. This case illustrates an impacted stone at the gallbladder infundibulum, signs of acute cholecystitis and a contained perforation at the gallbladder fundus.

Percutaneous cholecystostomy was done until stabilization of a patient to enable a more measured surgical approach. A cholecystectomy was performed some days later the presentation.