Clinical Study of Saint's Triad

Umbilical hernia with cholelithiasis and hiatal hernia: a clinical entity similar to Saint’s triad

“…Pregnancy, female sex, and age are risk factors for three of the four conditions (Saint’s triad and umbilical hernia). Most people diagnosed with Saint’s triad are reportedly women aged >60 years [ 1 , 2 , 4 ]. Therefore, when a patient has these risk factors, some of the four above-mentioned diseases may appear simultaneously.…”

“…Both of the patients reported herein underwent surgical treatment for cholelithiasis. Patients with Saint’s triad reportedly require surgery for cholelithiasis; hiatal hernia and colonic diverticulosis are usually treated conservatively [ 1 , 2 ]. Saint’s triad may be identified during a general preoperative examination.…”

“…Saint’s triad has been extensively reported in Western countries, but there are few reports (only 20 cases) of Saint’s triad in Japan [ 1 ]. This condition has not been reported in Japan since it was described by Kabe et al [ 2 ] in 1987. The number of patients with these three conditions is reportedly increasing, and detailed analysis indicates that Saint’s triad may not be a rare condition [ 2 ].…”

“…This condition has not been reported in Japan since it was described by Kabe et al [ 2 ] in 1987. The number of patients with these three conditions is reportedly increasing, and detailed analysis indicates that Saint’s triad may not be a rare condition [ 2 ]. We suspect that many patients actually have Saint’s triad in Japan.…”