A 77-year-old female patient was admitted to our hospital with abdominal pain, fever, and fatigue. Ultrasonography was insufficient to evaluate her intraabdominal pathology due to intestinal gas. Computed tomography revealed abscess formation. Surprisingly, porcelain gallbladder appearance was observed (Figure 1). She was then administered intravenous antibiotics, followed by percutaneous abscess drainage. Porcelain gallbladder is defined as intramural gallbladder calcifications (1). Despite its rare frequency, it is believed that porcelain gallbladder has a high malignant potential. Due to the risk of gallbladder cancer, prophylactic cholecystectomy is the treatment of choice for porcelain gallbladder (2).