Abstract
A 52-year-old woman with an eight-year history of gallstones who had twice declined to have a cholecystectomy. The patient presented as an emergency with severe abdominal pain, hectic fevers and rigors. Results of examination showed an enlarged, tender and easily palpable gallbladder. A diagnosis of empyema of the gallbladder was made. Intravenous administration of antibiotics was started immediately and a laparoscopic cholecystectomy was performed 36 hours after admission. Postoperative recovery was uncomplicated. The patient was discharged after 72 hours and returned to normal activities within one week. Laparoscopic cholecystectomy seems a useful technique to treat gallbladder disease in emergency as well as elective situations.
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