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Comments on Saint's triad.

Vitorino Modesto Dos Santos1, Lister Arruda Modesto Dos Santos2

  • 1Armed Forces Hospital and Catholic University of Brasília, Estrada do Contorno do Bosque s/n, Cruzeiro Novo, 70658-900, Brasília, DF, Brazil. vitorinomodesto@gmail.com.

Surgical Case Reports
|March 5, 2016
PubMed
Summary
This summary is machine-generated.

This study highlights two cases of gallstones with hiatal and umbilical hernias, suggesting a broader interpretation of Saint's triad. The findings emphasize the underdiagnosis of this condition.

Keywords:
CholelithiasisDiverticular diseaseHiatal herniaSaint’s triad

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Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Saint's triad classically includes cholelithiasis, hiatal hernia, and colonic diverticulosis.
  • Herniosis, a disorder of the extracellular matrix, has led to broader definitions including various hernias.
  • Coexistence of these conditions may be underdiagnosed and underreported.

Purpose of the Study:

  • To discuss the clinical features of coexistent cholelithiasis, hiatal hernia, and umbilical hernias.
  • To explore the similarities and variations from the classical Saint's triad.
  • To raise awareness of this potentially underdiagnosed condition.

Main Methods:

  • Case study analysis of two patients with coexistent cholelithiasis, hiatal hernia, and umbilical hernias.
  • Literature review and discussion of Saint's triad variations.

Main Results:

  • The cases presented shared clinical similarities with Saint's triad, particularly when considering a broader definition including umbilical hernias.
  • The study underscores the potential for underdiagnosis of this specific combination of conditions.

Conclusions:

  • The classical Saint's triad may encompass a wider range of hernias beyond colonic diverticulosis.
  • Increased recognition and reporting of these coexisting conditions are necessary for better patient understanding and management.