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Left-sided gallbladder and Chilaiditi syndrome in an infant

Laura J Bradstreet1, Teresa Chapman2, Jonathan O Swanson2

  • 1Divison of Pediatric Gastroenterology, Hepatology, and Nutrition American Family Children's Hospital Madison Wisconsin USA.

JPGN Reports
|February 13, 2025
PubMed

Insights

This report details a rare case of gallbladder malpositioning alongside Chilaiditi syndrome in an infant. This unique congenital hepatic and intestinal anomaly highlights the importance of recognizing unusual presentations.

Area of Science:

  • Gastroenterology and Hepatology
  • Pediatric Surgery
  • Medical Imaging

Background:

  • Congenital hepatic anomalies can present with gastrointestinal or vascular issues, or be asymptomatic.
  • Rare liver and biliary disorders include left-sided gallbladder, wandering liver, malrotation, and Chilaiditi syndrome.

Purpose of the Study:

  • To report a novel case of gallbladder malpositioning combined with Chilaiditi syndrome in an infant.
  • To discuss management considerations for this unique congenital anomaly.

Main Methods:

  • Case report of an infant with incidentally discovered malpositioning of the gallbladder.
  • Radiological assessment to identify gallbladder position and hepato-diaphragmatic interposition of the bowel.

Main Results:

  • An infant presented with incidental discovery of gallbladder malpositioning to the superior surface of the left hepatic lobe.
  • The infant also exhibited Chilaiditi syndrome, a rare condition involving bowel interposition between the liver and diaphragm.

Conclusions:

  • This combined anomaly of gallbladder malposition and Chilaiditi syndrome is unprecedented in medical literature.
  • Recognition and appropriate management strategies are crucial for such rare congenital hepatic and intestinal malformations.

Keywords:
congenital malrotationectopic gallbladderhepatic anomalieshepatic‐diaphragmatic interpositionpediatric

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