Objective: To investigate the causes of sudden death after open cholecystectomy in the forensic pathology aspect and analyze the factors leading to sudden death in order to prevent complications and medical tangle.Methods: By the retrospective study

14 cases of sudden death after open cholecystectomy were collected and analyzed..The causes of death and medical tangle were summarized retrospectively by analyzing the past ten years report.Results: The causes of death included severe acute pancreatitis(57%)

gallbladder abscess complicated by multiple organ dysfunction syndrome(36%) and bile duct injury(7%) and so on.The causes of medical tangle were due to poor attitudes and skills of the medical staff and being lack of adequate communications between patients and doctors.Conclusion: Diagnosing and treating gallstone pancreatitis at the early stage

preventing all kinds of complications including infections

improving the staff’s service and skills

and promoting communications with the patients and relatives could help to reduce and prevent sudden death after open cholecystectomy and medical tangle.