Acute calculous cholecystitis deserves semi-urgent surgical intervention. We do not have a waiting practice for a "cooling" period & regardless the timing of the condition we operate as long as the patients condition allows general anaesthesia. Doing so will decrease the number of gangrenous & perforated cases & it is also technically much easier when it is done sooner. The patient presented herein was operated on 36 hours after the diagnosis. Critical view of safety is a comparatively new concept to ensure the avoidance of biliary injuries & presented.
