Six cases of congenital diaphragmatic hernia and 8 cases of neonatal gastric perforation have been experienced at the National Kagawa Children's Hospital during the past 6 years. One case had a combination of the two diseases. Case report: A full term boy, weighing 3,280g with normal delivery developed abdominal distension and vomiting on the second day after birth. On the third day, he was admitted to our hospital because of respiratory distress. An abnormal eventration of the left diaphragm and free air in the abdominal cavity were recognized by plain x-ray films. A congenital anomaly of the left diaphragm and neonatal gastric perforation were diagnosed. At operation, gastric perforation located in the posterior wall of the stomach and left posterolateral diaphrag-matic hernia with a thin sac measured 2x4cm in width were found. The diaphragmatic hernia and gastric perforation were primarily repaired. The postoperative course was uneventful ex-cept for atelectasis of the left lung. He is now well at the age of 2 years.
