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Pädiatrie up2date 2014; 09(04): 371-392
DOI: 10.1055/s-0034-1390689
Gastroenterologie
© Georg Thieme Verlag KG Stuttgart · New York

Akute Bauchschmerzen

Nicola Tesch
,
Stephan Buderus
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Publication History

Publication Date:
25 November 2014 (online)

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Akute BauchschmerzenPädiatrie up2date 2014; 09(04): e1
DOI: 10.1055/s-0034-1391276

Zusammenfassung

Akute Bauchschmerzen gehören zu den häufigen Vorstellungsgründen in pädiatrischen Notfallambulanzen sowie beim niedergelassenen Kinderarzt. Basis jeglicher differenzialdiagnostischer Überlegungen stellen eine fundierte Anamnese und die komplette körperliche Untersuchung dar. Ergänzt werden diese durch laborchemische Untersuchungen und die Bildgebung, hier in aller erster Linie die Sonografie (Abb. [8]). Neben akut interventionsbedürftigen Krankheitsbildern wie der akuten Appendizitis und der ileocolischen Invagination gilt es auch extrabdominelle Krankheitsbilder wie die Pneumonie in differenzialdiagnostische Überlegungen einzubeziehen. Darüber hinaus können sich auch chronisch-rezidivierende Bauchschmerzen, die häufiger funktioneller Natur sind, als akutes Geschehen präsentieren. Dies trägt zusammen mit der Fülle möglicher intra- und extraabdomineller Differenzialdiagnosen zur Komplexität des Symptoms „akute Bauchschmerzen“ bei.

 

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