The most specific symptom of acute cholecystitis - an intense constant pain in the right upper quadrant, often with the irradiation in the right shoulder blade, right supraclavicular area. The pain is often accompanied by restless patient behavior, trying to find a posture to relieve the suffering. With simultaneous lesion of the pancreas gets shingles pain character. Often in acute cholecystitis develops nausea and repeated vomiting, increased body temperature.