Bochdalek's Left Diaphragmatic Hernia

A rare pathology in adults, Bochdalek's hernia is a protrusion of abdominal viscera into the thorax through the posterolateral hiatus of the diaphragm.Often asymptomatic and discovered by chance, the risk of incarceration of loops remains an indication for reconstructive surgery.We report 2 cases of Bochdalek's hernia having motivated a diaphragmatic plication.Observation 1: This was a 76-year-old patient, followed for gastric cancer, in whom the extension assessment allowed the discovery of a left Bochdalek diaphragmatic hernia fortuitously containing the tumoral stomach, spleen, colon and omentum.He underwent a gastrectomy associated with a diaphragmatic plication.The suites were simple.Observation 2: This was a 64-year-old patient with hypertension under treatment, followed for a long time for recurrent left pneumonia.The radiological workup revealed a Bochdalek's hernia containing the stomach, colon and omentum.She benefited from a diaphragmatic plication.The consequences were marked by basal pleurisy which had progressed well with corticosteroids and respiratory physiotherapy. Conclusion:The cure of a diaphragmatic hernia should always be considered in adults even if its discovery is accidental during surgical exploration because of the risk of incarceration and strangulation of the abdominal viscera.