[INTRODUCTION - A 21-year-old woman presented with iatrogenic diaphragmatic hernia causing bowel obstruction. CASE REPORT - Plain abdominal X-ray and barium swallow examinations showed a diaphragmatic hernia causing partial gastric obstruction. Surgery confirmed the radiological diagnosis. The hernia was located atypically at the centre of the diaphragm. CONCLUSION - The cause of the hernia was probably related to a pyogenic necrosis due to subphrenic abscess after cholecystectomy performed 2 years earlier, treated by drainage and repeated surgical interventions.]

[INTRODUCTION - Several publisactions described the association of Hirschsprung disease with other congenital anomalies. Most studies were in relation with the neurological, ophthalmological and ear-nose-throat disorders. The authors did not find any publication in the Hungarian literature presented other anomalies in patients with Hirschsprung disease. PATIENTS AND METHODS - The data of 43 patients treated for Hirschsprung disease at the Department of Paediatrics of Pécs University was analysed. The most frequent associated anomalies e. g. Down syndrome, omphalocele, anorectal malformation, annular pancreas, torticollis, syndactylia, Meckel diverticulum, upper urinary tract disorder and undescendent testis were studied. The patients who had several congenital anomalies were evaluated separately as well as those having congenital inguinal hernia. The authors compared the number of congenital anomalies occurred in patients with Hirschsprung disease with the incidence of these congenital disorders occurred in non-Hirschsprung patients in the literature. RESULTS - Among 43 patients, 6 children had associated congenital anomalies. 3 patients had only one of the following disorders: undescendent testis, urinary tract duplication and Down syndrome. 3 patients suffered from multiplex congenital anomalies: 1. Down syndrome with annular pancreas and torticollis. 2. Omphalocele, anal atresia, vesicoureteric reflux and syndactylia. 3. Anus atresia, Meckel diverticulum and limb (radius) hypoplasia. In addition 3 patients had other anomalies such as unilateral and bilateral inguinal hernia and umbilical hernia. CONCLUSION - On the basis of our results we can state that the incidence of other associated congenital anomalies are higher in patients with Hirschsprung disease. Single organ developmental anomaly is rare, it usually occurs in association with multiorgan disorders. Most likely this is the explanation why patients with Hirschsprung disease have more associated anomalies.]