Saint`s triade with diverticulosis of jejunum – rare variety of the syndrome
https://doi.org/10.24884/0042-4625-2019-178-4-72-75
Abstract
The objective was to present the case report of the patient with rare clinical finding – Saint`s triade. The examination diagnosed giant paraesophageal hernia (III type) with gastric torsion and cholelithiasis. The 72-years old woman was admitted to hospital with complaints of acute dysphagia. During the laparotomy operation, jejunal diverticulosis was also detected. The patient underwent crural repair, fundoplication, and cholecystectomy. The postoperative period was uneventful. She was discharged on the 14th day after surgery with recovery. The features of the presented case were the prevalence of the clinical picture of complicated hiatal hernia and the localization of diverticula in the jejunum. The clinical significance of the Saint`s triade was to assess the probability of this combination in identifying one of the components.
About the Authors
A. S. Benian
Samara regional clinical hospital named after V.D. Seredavin
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
M. P. Ayrapetova
Samara regional clinical hospital named after V.D. Seredavin
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
M. A. Medvedchikov-Ardiia
Samara regional clinical hospital named after V.D. Seredavin
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
S. A. Mukhambetaliev
Samara regional clinical hospital named after V.D. Seredavin
Russian Federation
Russian Federation
159 Tashkentskaya street, Samara, Russia, 443095
References
1. Krivosheev A. B., Havin P. P., Ermachenko T. V., Krivosheeva I. A., Hvan L. A., Kondratova M. A. Divertikuljarnaja bolezn’ tolstoj kishki. Triada Sejnta. Dokazatel’naya gastroehnterologiya. 2018;7(1):58a–59. (In Russ.).
2. Timerbulatov V. M., Fayazov R. R., Gajnullina E. N. Triada Seinta v neotlozhnoi abdominal’noi khirurgii (klinicheskie nablyudeniya). Koloproktologiya. 2018;(3(65)):62–65. (In Russ.).
3. Krivosheev A. B., Kondratova M. A., Havin P. P., Hvan L. A., Ermachenko T. V., Krivosheeva I. A. Divertikulyarnaya bolezn’ tolstoi kishki. Triada Seinta. (Obzor literatury i analiz sobstvennogo nablyudeniya). Medicinskij alfavit. 2017;3(27(324)):21–24. (In Russ.).
4. Hauer-Jensen M., Bursac Z., Read R. C. Is herniosis the single etiology of Saint’s triad? Hernia. 2009;13:29–34.
5. Нilliard A. A., Weinberger S. E., Jr. Tierney L. M. et al. Clinical problem-solving. Occam’s razor versus Saint’s triad. N Engl J Med. 2004;(350):599–603.
6. Yamanaka T., Miyazaki T., Kumakura Y., Honjo H., Hara K., Yokobori T., Sakai M., Sohda M., Kuwano H. Umbilical hernia with choletithiasis and hiatal hernia: a clinical entity similar to Saint’s triad. Surgical Case Reports. 2015;1(1):65. Doi: 10.1186/s40792-015-0067-8.
7. Dos Santos V. M., Dos Santos L. A. Comments on Saint’s triad. Surgical Case Reports. 2015;1(1):115. Doi: 10.1186/s40792-015-0116-3.
Review
For citations:
Benian A.S., Ayrapetova M.P., Medvedchikov-Ardiia M.A., Mukhambetaliev S.A. Saint`s triade with diverticulosis of jejunum – rare variety of the syndrome. Grekov's Bulletin of Surgery. 2019;178(4):72-75. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-4-72-75
Views:
972
Email this article 