Left-sided gallbladder and Chilaiditi syndrome in an infant

Congenital hepatic anomalies may be associated with important intestinal abnormalities, vascular anomalies, or may be asymptomatic and discovered incidentally. Uncommon and rare anatomic liver and biliary disorders include left-sided gallbladder, wandering liver, malrotation of the liver, and hepato-diaphragmatic interposition of the bowel (Chilaiditi syndrome). This report describes an infant with incidentally discovered malpositioning of the gallbladder to the superior surface of the left hepatic lobe, coupled with Chilaiditi syndrome, a configuration that has not been described in the literature. Management considerations are discussed.