Both acute gallbladder pathology and diverticular disease are common conditions met in emergency departments in the western world and comprise the bulk of admissions throughout general surgical calls. On the other hand both entities need imagistic confirmation and description to tailor further management, which may be not readily available at the moment of patient's presentation in A&E's doorstep or after referral to the on call general surgeon. These delays may lose the window of opportunity for emergency surgery or prolong unnecessary admission for a patient with known condition which may need just a fast exclusion of a more advanced stage and then be further treated conservatively or even discharged.