胆嚢摘除術および経十二指腸乳頭括約筋形成術を施行した腸チフス胆道系保菌者の１治験例

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  • A Case Report of Cholecystectomy and Transduodenal-sphincteroplasty for a Typhoid Biliary Carrier.

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In recent years the incidence of typhoid fever has markedly decreased. However biliary carriers are the main sources of infection. We performed cholecystectomy and transduodenal-sphincteroplasty for a typhoid carrier. The patient was a 70-year-old man who was admitted to our hospital for the treatment of incidentally detected Salmonella typhi in the feces and bile. Abdominal CT scan revealed multiple gall stones. Following administration of 4 g of Ampicillin per day for 5 days preoperatively, he underwent cholecystectomy and transduodenalsphincteroplasty. Cefazolin was used to prevent postoperative infection, because specific antibiotics are not always necessary. Salmonella typhi has been absent from the feces and bile since then, for about 1 year.

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