Apresentamos um caso clínico em que falhamos, na primeira abordagem, o diagnóstico de hérnia de Bochdalek numa jovem adulta. O diagnóstico inicial de derrame pleural foi colocado no contexto de um quadro clínico sugestivo e de um estudo imagiológico incompleto e mal interpretado.

BOCHOALEK HERNIA: ALWAYS AN EASY DIAGNOSIS?

We present a case of a Bochdalek hernia in a 23 years old pregnant woman, in which the hernia content was mostly epiplon and simulated the image of a pleural effusion. In the adult, non traumatic diaphragmatic hernias diagnosis is believed to be an easy one. Radiographs usually show gas filled loops of bowel projecting above the diaphragm. When the displaced organs are solid the diagnosis can be difficult.