Cholecystocutaneous fistula is an exceptionally rare complication today, which may be the result of an acute cholecystitis neglected for a long time. It is preceded by the formation of a phlegmon of the abdominal wall in the gallbladder projection area, followed by the establishment of continuity cutaneous solution. The author presents the case of a man, aged 77 years old with essential hypertension grade II and type II diabetes treated with oral agents, Parkinson’s disease, ischemic heart disease, mitral valve insufficiency, chronic drug converted atrial flutter, who came to the Emergency Department with symptoms of a tumour formation in the right hypocondrium, associating celsian tegument signs. Surgical intervention is performed on day 7, the preoperative diagnosis being of cholecystocutaneous fistula. The work expresses the opinion of the author and aims at presenting the strategy, the clinical and evolutive particularities in the case of cholecystocutaneous fistula.