Gastric perforation with gastrointestinal anomaly is rare in newborns.A case of Tetralogy of Fallot with both malrotation and gastric perforation is reported.

• 摘要新生儿胃穿孔系一少见之腹部急症，它可以发生于没有先天性肠胃异常之新生儿，有些病例则合并有肠胃异常，但是并发肠旋转不良之病例则尚未有报告。