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[The Saint syndrome]

G Besznyák1, G Bak, L Kovács

  • 1Heves Megyei Onkormányzat Markhot Ferenc Körház-Rendelöintézet, Eger II. Belgyógyászati Osztály.

Orvosi Hetilap
|September 8, 1996
PubMed
Summary
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Saint's triad, the simultaneous occurrence of gallstones, hiatus hernia, and colonic diverticulosis, is rarely diagnosed due to asymptomatic components. Prompt diagnosis requires evaluating all three conditions when symptoms overlap.

Area of Science:

  • Gastroenterology
  • Surgical Case Review

Background:

  • Saint's triad is defined as the concurrent presence of cholelithiasis (gallstones), hiatus hernia, and colonic diverticulosis.
  • While individual components are common, the triad is infrequently recognized in clinical practice.

Observation:

  • The triad often goes undiagnosed because not all components manifest with distinct clinical symptoms.
  • Diagnosis and treatment are typically focused on the most prominent presenting symptoms, potentially overlooking the complete syndrome.

Findings:

  • The study reviews current knowledge on Saint's triad, emphasizing its underdiagnosis.
  • Authors highlight the importance of considering Saint's triad when patients present with overlapping symptoms suggestive of its individual components.

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Implications:

  • Clinicians should suspect Saint's triad in cases with atypical symptoms of cholelithiasis, diverticulosis, or hiatus hernia.
  • Comprehensive evaluation to confirm or exclude each component is crucial for accurate diagnosis and effective management of Saint's triad.