Yamanaka et al. described two case studies involving coexistent cholelithiasis, 
hiatal hernia, and umbilical hernias, and discussed clinical similarities with 
the classical features of the Saint's triad. Cholelithiasis, hiatal hernia, and 
colonic diverticulosis characterize the classical triad, but some authors have 
included any type of hernia due to herniosis-a developmental disorder of the 
extracellular matrix. The main features of this triad, which seem to be 
underdiagnosed and/or underreported, are discussed. Therefore, the commented 
manuscript contributed to better understanding the scarcely reported condition.