[Acute intrahepatic lithiasic cholecystitis. Apropos of a case]

Pre-operative diagnosis in a case of acute intrahepatic lithiasic cholecystitis was an intrahepatic cystic formation. Treatment was by cholecystectomy. A review of the published literature demonstrated that the usual pre-operative diagnosis in these cases was either a cystic formation or an intrahepatic tumor. When cholecystectomy is not possible, therapy involves extraction of all gallbladder stones and main biliary tract drainage.