In connection with two cases authors review our current body of knowledge on 
Saint's triad that means the concomitant occurrence of cholelithiasis, hiatus 
hernia and colonic diverticulosis. Though each component of this syndrome is 
fairly common, the Saint's triad is relatively seldom encountered. It does 
happen so because not all the components are likely to cause clinical symptoms. 
Consequently diagnosis and subsequent therapy are targeted at the dominating 
symptoms. On the other hand, the existence of the syndrome is also not 
sufficiently known in clinical practice. Authors stress that in the event of 
simultaneous symptoms suggestive of atypic cholelithiasis, colonic 
diverticulosis and hiatus hernia one has to consider a potential Saint's triad. 
Therefore it is recommended to verify or exclude each of the three components to 
establish a precise diagnosis and adequate subsequent therapy.