title: Gallstone jejunal perforation: surgical implications.
abstract: Spontaneous biliary-enteric fistulization is a rare complication of cholelithiasis. Much rarer yet is spontaneous jejunal perforation from an impacted gallstone. A case is presented from a suburban community general hospital. An aggressive surgical approach is endorsed and the impact of current economic constraints on surgical philosophy is reviewed.
authors.affiliation: Department of Surgery, Community Memorial Hospital, Menomonee Falls, Wisconsin.
authors.forename: U R
authors.initials: UR
authors.lastname: Limjoco
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001658:Biliary Fistula / Q000209:etiology; D002769:Cholelithiasis / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D007579:Jejunal Diseases / Q000209:etiology*; D012422:Rupture, Spontaneous