A 74-year-old patient, history of COPD, who consulted for 4 months of abdominal pain in the upper right hemiabdomen, constant, worsens with food. Tumor markers: Ca 19.9 and negative ACE, without alteration of liver function. CT scan of contrasted abdomen: sclerosed gallbladder, cholelithiasis, dilation of the bile duct. Cholangioresonance: cholelithiasis, dilatation of the intra- and extrahepatic bile duct, the intra-pancreatic common bile duct with a transverse diameter of 17mm observing amputation of the same in the ampullary topography, with dilation of the main pancreatic duct reaching a transverse diameter of up to 7. 6mm. Echo endoscopy: dilation of the extrahepatic bile duct and the main pancreatic duct without lesions at the level of the ampulla or the head of the pancreas. It was carried to surgery finding: scleroatrophic gallbladder, hard, thick walls, with biliary calculus that penetrates the portal vein 5 mm from the bifurcation. Common bile duct dilated approx. 3 cms. Resection + terminal portal vein reconstruction + cholecystectomy + enteric bilium diversion and roux-en-y reconstruction were performed. In the postoperative period, she presented a surgical bed collection that was managed with percutaneous drainage and antibiotic therapy, she was discharged with home medicine at 9 days POP. The pathology was reported as gallbladder plus portal vein: fibrosis, calcifications, chronic inflammation, without histological criteria of malignancy.