Dtsch Med Wochenschr 2020; 145(21): 1544-1551
DOI: 10.1055/a-1007-4264
Dossier

Akutes Abdomen: Diagnostik

Acute Abdomen: Diagnostic Management
Arne Bokemeyer*
,
Kevin Ochs*
,
Valentin Fuhrmann

Das akute Abdomen ist ein häufiges und unter Umständen dramatisches klinisches Krankheitsbild, das bei nicht zeitgerechter Diagnostik einen fatalen Verlauf nehmen kann. Wegweisend ist hierbei die zügige und gezielte klinische Beurteilung einschließlich Laborbestimmungen, Bildgebung und ggf. interventioneller Diagnostik, um die Vielzahl der Differenzialdiagnosen abzugrenzen. Dies legt den Grundstein für eine adäquate und zeitgerechte Therapie.

Abstract

Acute abdomen is a common and sometimes dramatic clinical condition, which can be fatal if diagnosis is not made in time. A large number of diseases can cause an acute abdomen which makes a targeted and rapid diagnostic approach utterly important. The initial diagnostic approach is based on the clinical assessment (including medical history and physical examination) which allows doctors to quickly establish a suspected diagnosis with a relatively high sensitivity but a rather low specificity. Further diagnostics, including laboratory markers, imaging and – if necessary – interventional diagnostics should be initiated quickly after the first clinical assessment in order to confirm the suspected diagnosis or to further classify unclear cases. The clinical assessment is the leading diagnostic tool that determines further diagnostic approaches for patients with an acute abdomen and thus enables adequate and timely therapy.

* Herr Bokemeyer und Herr Ochs haben eine geteilte Erstautorenschaft.




Publication History

Publication Date:
20 October 2020 (online)

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