Conclusion  The occurrence of the same type of hernia in more than one family member and the altered biochemical results indicate that the hernias may have resulted from a familial connective tissue disease. In patients with hernias, if a familial tendency is suspected, a detailed examination for connective tissue diseases may help to confirm the diagnosis. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-009-0554-6Authors S. Akbulut, Diyarbakir Education and Research Hospital Department of Surgery Seref Inaloz Caddesi 21400 Diyarbakir Dagkapi TurkeyB. Cakabay, Diyarbakir Education and Research Hospital Department of Surgery Seref Inaloz Caddesi 21400 Diyarbakir Dagkapi TurkeyA. Sezgin, Diyarbakir Education and Research Hospital Department of Patholog...