Parasitic infestations of the galdbladder and biliary tract are quite rare. Taenia saginata is an intestinal hel-mint and patients harbouring adult T. saginata tapeworms are mostly asymptomatic and discharge only fecal proglottids. In some cases there might be nonspecific symptoms like vomiting, nausea, epigastric pain, diarrhea and weight loss. Tenia saginata is a also rare cause of ileus, pancreatitis, cholecystitis and cholangitis. We report a case of acute cholangitis caused by T. saginata presenting with fever, nausea, vomiting, jaundice and right upper quadrant pain. Although parasites are not an uncommon cause of cholangitis especially in disease-endemic areas like the Far East, this is not true for T. saginata causing acute cholangitis.