Zusammenfassung
Der Begriff „akutes Abdomen“ bezeichnet einen schwerwiegenden Bauchbefund, charakterisiert durch plötzlichen Beginn, Schmerz, Abwehrspannung und muskuläre Rigidität, der gewöhnlich eine notfallmäßige Operation erfordert, was im angelsächsischen Sprachraum zu dem Terminus „chirurgisches Abdomen“ geführt hat. „Akutes Abdomen“ beschreibt ein klinisches Bild, keine Diagnose. Davon zu unterscheiden sind Patienten mit akutem Bauchschmerz. Dieser stellt ein sehr häufiges Krankheitsbild dar, ca. 10 % aller Aufnahmen in einer Notfallambulanz sind hierauf zurückzuführen, und erfordert in maximal 20 % der Fälle eine chirurgische Intervention – altersabhängig. Dementsprechend unterschiedlich ist die Prognose beider Krankheitsbilder.
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Literatur
Agresta F, Ansaloni L, Baiocchi GL et al (2012) Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d'Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell'Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES). Surg Endosc 26:2134–2164
Caruso C, La Torre M, Benini B, Catani M, Crafa F, De Leo A, Neri T, Sacchi M (2011) Is laparoscopy safe and effective in nontraumatic acute abdomen? J Laparoendosc Adv Surg Tech A 21:589–593
Cooper JG, West RM, Clamp SE, Hassan TB (2011) Does computer-aided clinical decision support improve the management of acute abdominal pain? A systematic review. Emerg Med J 28:553–557
Coyle JP, Brennan CR, Parfrey SF, O'Connor OJ, Mc Laughlin PD, Mc Williams SR, Maher MM (2012) Is serum C-reactive protein a reliable predictor of abdomino-pelvic CT findings in the clinical setting of the non-traumatic acute abdomen? Emerg Radiol 19:455–462
Dias BH, Rozario AP, Olakkengil SA (2015) Role of inflammatory markers as predictors of laparotomy in patients presenting with acute abdomen. ANZ J Surg 85:755–759
Falch C, Vicente D, Häberle H, Kirschniak A, Müller S, Nissan A, Brücher BL (2014) Treatment of acute abdominal pain in the emergency room: a systematic review of the literature. Eur J Pain 18:902–913
Gaitán HG, Reveiz L, Farquhar C, Elias VM (2014) Laparoscopy for the management of acute lower abdominal pain in women of childbearing age. Cochrane Database Syst Rev: CD007683
Gans SL, Atema JJ, Stoker J, Toorenvliet BR, Laurell H, Boermeester MA (2015a) C-reactive protein and white blood cell count as triage test between urgent and nonurgent conditions in 2961 patients with acute abdominal pain. Medicine (Baltimore) 94:e569
Gans SL, Pols MA, Stoker J, Boermeester MA, expert steering group (2015b) Guideline for the diagnostic pathway in patients with acute abdominal pain. Dig Surg 32:23–31
Gesellschaft für pädiatrische Radiologie (GPR) in Zusammenarbeit mit der Deutschen Röntgengesellschaft (2013) S1-Leitlinie: Bauchschmerz – Bildgebende Diagnostik. Publiziert bei: AWMF-Register Nr.064/016. Klasse S1
Laurell H, Hansson LE, Gunnarsson U (2015) Impact of clinical experience and diagnostic performance in patients with acute abdominal pain. Gastroenterol Res Pract 2015: 590346
Lehtimäki T, Juvonen P, Valtonen H, Miettinen P, Paajanen H, Vanninen R (2013) Impact of routine contrast-enhanced CT on costs and use of hospital resources in patients with acute abdomen. Results of a randomised clinical trial. Eur Radiol 23:2538–2545
Manterola C, Vial M, Moraga J, Astudillo P (2011) Analgesia in patients with acute abdominal pain. Cochrane Database Syst Rev: CD005660
Masselli G, Derchi L, McHugo J, Rockall A, Vock P, Weston M, Spencer J; ESUR Female Pelvic Imaging Subcommittee (2013) Acute abdominal and pelvic pain in pregnancy: ESUR recommendations. Eur Radiol 23:3485–3500
Mayumi T, Yoshida M, Tazuma S et al (2016) Practice guidelines for primary care of acute abdomen 2015. J Hepatobiliary Pancreat Sci 23:3–36
Millet I, Alili C, Bouic-Pages E, Curros-Doyon F, Nagot N, Taourel P (2013) Journal club: Acute abdominal pain in elderly patients: effect of radiologist awareness of clinicobiologic information on CT accuracy. AJR Am J Roentgenol 201:1171–1178
Reginelli A, Russo A, Pinto A, Stanzione F, Martiniello C, Cappabianca S, Brunese L, Squillaci E (2014) The role of computed tomography in the preoperative assessment of gastrointestinal causes of acute abdomen in elderly patients. Int J Surg 12(2):S181–186
Murata A, Okamoto K, Mayumi T, Maramatsu K, Matsuda S (2014) Age-related differences in outcomes and etiologies of acute abdominal pain based on a national administrative database. Tohoku J Exp Med 233:9–15
Poonai N, Paskar D, Konrad SL, Rieder M, Joubert G, Lim R, Golozar A, Uledi S, Worster A, Ali S (2014) Opioid analgesia for acute abdominal pain in children: A systematic review and meta-analysis. Acad Emerg Med 21:1183–1192
Ukkonen M, Kivivuori A, Rantanen T, Paajanen H (2015) Emergency Abdominal Operations in the Elderly: A Multivariate Regression Analysis of 430 Consecutive Patients with Acute Abdomen. World J Surg 39:2854–2861
Unal A, Sayharman SE, Ozel L, Unal E, Aka N, Titiz I, Kose G (2011) Acute abdomen in pregnancy requiring surgical management: a 20-case series. Eur J Obstet Gynecol Reprod Biol 159:87–90
Villain C, Wyen H, Ganzera S, Marjanovic G, Lefering R, Ansorg J, Gaidzik PW, Haubold N, Neugebauer EA (2013) Early analgesic treatment regimens for patients with acute abdominal pain: a nationwide survey among general surgeons. Langenbecks Arch Surg 398:557–564
Weir-McCall J, Shaw A, Arya A, Knight A, Howlett DC (2012) The use of preoperative computed tomography in the assessment of the acute abdomen. Ann R Coll Surg Engl 94:102–107
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Grundmann, R.T. (2017). Akutes Abdomen und akuter Bauchschmerz. In: Germer, CT., Keck, T., Grundmann, R. (eds) Evidenzbasierte Viszeralchirurgie benigner Erkrankungen. Evidenzbasierte Chirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53553-0_1
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