The radiological features are representing a case of obstructive jaundice by a distal common bile duct stone. Extrahepatic obstructive jaundice leads to increased biliary pressure and consequently inside the gallbladder lumen, which can lead to vascular compromise at the gallbladder wall and ultimately to necrosis and perforation. This is considered as type 2 according to Neimeier classification of gallbladder perforation.