Microgastria is a rare malformation of the stomach always associated w
ith variable patterns of malformations of the lung, heart, aortic arch
, skeleton, and central nervous system. Many cases present with asplen
ia and hepatic symmetry as well as intestinal malrotation. We report a
first case of a 4.5-year-old girl with congenital microgastria in ass
ociation with growth hormone deficiency, diabetes insipidus, brachyoes
ophagus, hernia of the diaphragm, gastro-oesophageal reflux, intestina
l malrotation, enlarged symmetrical liver, asplenia, as well as mental
and statomotor retardation. Conclusion Congenital microgastria is alw
ays associated with malformations of other organs, Patients at any age
presenting one of the symptoms: failure to thrive, vomiting, asplenia
, midline defects and parts of the VACTERL association should be caref
ully examined to exclude microgastria.