A 75 year old woman with a moderate abdominal pain in the epigastrium and right hypochondrium seven days before hospital admission. In the physical examination her abdomen was tender to palpation over epigastrium and right hypochondrium. The laboratory data were remarkable for an white blood count of 20000 with left shift and C reactive protein of 350mg/dl. A CT scan was performed and showed a hepatic abscess blocked in the gallbladder bed with a volume of 300ml. A percutaneous drainage was done and the patient recovered from the infectious process. Four weeks later, the cholecystectomy was done. The surgical findings were a necrotic gallbladder completely tamponade by the duodenum. The anatomy was distorted by the inflammatory process and the procedure were very difficult. We could not find the cyst duct and decided to do a partial cholecystectomy.