Abstract
Cholelithiasis is a multifactorial disease who affects women at reproductive age. Acute cholecystitis is the second most common non-obstetrical emergency in pregnancy. The early symptoms of the acute cholecystitis resemble to the common symptoms of pregnancy, delaying the diagnosis and therapy and worsening both maternal and foetal prognosis. Immediate laparoscopic cholecystecomy is the best choice for treatment, lowering the maternal risk and improving foetal outcome. We present a case of a first trimester pregnant woman, 3 years after bariatric surgery, diagnosed with acute cholecystitis, successfully resolved by a multidisciplinary team. Keywords: acute cholecystitis, bariatric surgery, pregnancy, laparoscopy
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