A trip to the ED earned an 85-year-old woman admission to an exclusive club: adults with rare and troublesome congenital diaphragmatic hernias of Morgagni. 

The structural abnormality affecting the anterior diaphragm tends to manifest in childhood, according to doctors in Varanasi, India, who say just 12 symptomatic Morgnani hernias in adults have been documented previously.

For their elderly patient, the hernia was an incidental finding during investigations for a 20-day history of abdominal pain. 

Her other symptoms included non-passage of flatus for the past seven days and a single episode of non-projectile, non-bilious vomiting of food particles, the case authors reported in Cureus.