We report a rare case of bilateral anterio-medial defect in the diaphragm in a 5-month-old infant presenting with recurrent respiratory tract infection. He had two adjacent accessory hepatic lobes which, presumably, had embryologically caused the defect. He also had secondary herniation of the transverse colon without any symptoms attributable to it. We describe the management of this condition and the concerned literature is reviewed. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-009-0561-7Authors R. P. Kanojia, Postgraduate Institute of Medical Education and Research (PGIMER) Department of Pediatric Surgery, Block 3A Advanced Pediatric Center Sector 12 Chandigarh 160 012 IndiaB. Naredi, Postgraduate Institute of Medical Education and Research (PGIMER) Departm...