Acquired malposition of the gallbladder.

A 59-year-old woman with a history of cirrhosis and portal hypertension underwent a planned laparoscopic cholecystectomy (LC) for long-standing cholelithiasis. Laparoscopy revealed the gallbladder extending to the left of the falciform ligament, an acquired malposition secondary to cirrhosis. Modification of the surgical approach allowed safe and successful completion of the procedure laparoscopically. 2014 BMJ Publishing Group Ltd.