LAPAROSCOPIC CHOLECYSTECTOMY IN A BILIARY TYPHOID CARRIER

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  • 腹腔鏡下胆嚢摘出術を施行した腸チフス胆道系保菌者の1例

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Abstract

A 63-year-old woman with no symptoms and no past history of infection was detected to have Salmonella typhi by bacteriological examination of the feces. We determined that she was a healthy biliary carrier of Salmonella typhi, because of a 2cm-sized gallbladder stone that was demonstrated by ultrasonography. We thought it would be impossible to achieve radical cure with only conservative therapy, so a laparoscopic cholecystectomy was performed no November 18, 1998. The postoperative course was good, and Salmonella typhi was not detected in any culture thereafter, so she was discharged on December 17. Our review of the literature, fuond on case report of laparoscopic examination in a healthy typhoid carrier with biliary stone, except our case. We regard this case as a good indication for the laparoscopic approach.

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