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

Akira Kubo, Toshimichi Takahashi, Shigeyoshi Itoh, Nobumichi Takeuchi, Ryoto Suzuki

Department of Surgery, Yokosuka City Municipal Hospital

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 7O-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.

Key words
typhoid biliary carrier, transduodenal-sphincteroplasty

Reprint requests
Akira Kubo Department of Surgery, Yokosuka City Municipal Hospital
1-3-2 Nagasaka, Yokosuka City, 240-01 JAPAN

Accepted
September 4, 1991

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