Gallbladder torsion is a rare but life-threatening condition. It is commonly seen in the elderly population due to a lack of mesenteric fat, making the cystic duct more mobile and prone to torsion. We are presenting a case of gallbladder torsion in a healthy adult male presented with an acute abdomen. Abdomen ultrasound and CT abdomen showed findings of hydrops gallbladder with acute acalculous cholecystitis. The patient went for emergency cholecystectomy due to severe unresolved pain. Intraoperative findings revealed a gangrenous gallbladder with torsion around the cystic duct. He was discharged well post-operatively. Gallbladder torsion remains a challenge for both surgeons and radiologists to diagnose preoperatively. Therefore, having a high index of suspicion is crucial to come to a diagnosis correctly.