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Akute Appendizitis

  • Günter Fasching
  • Johannes Mayr
Chapter

Zusammenfassung

Die akute Appendizitis ist die häufigste Abdominalerkrankung bei 5- bis 12-jährigen Kindern. Sie wird wahrscheinlich durch eine mechanisch bedingte Sekretabflussbehinderung aus dem Appendixlumen verursacht. Anamnestisch kommt es neben Übelkeit und Erbrechen zu Schmerzen im mittleren Oberbauch, die sich im Verlauf von Stunden in den rechten Unterbauch verlagern. Typischerweise finden sich ein Druckschmerz und eine Abwehrspannung im rechten Unterbauch. Die Kompressionssonographie des Abdomens ist die radiologische Untersuchungsmethode erster Wahl und sollte bei Mädchen immer zum Ausschluss einer Pathologie des inneren Genitale durchgeführt werden. Therapie der Wahl ist die Appendektomie; sie kann offen, laparoskopisch oder als »Single-port-Appendektomie« durchgeführt werden. Neue Studien ergeben Hinweise, dass bei einer unkomplizierten Appendizitis eine primär nichtoperative Behandlung mit Antibiotika durchgeführt werden kann.

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Copyright information

© Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Kinder- und JugendchirurgieKlinikum KlagenfurtKlagenfurt am WörtherseeÖsterreich
  2. 2.Universitäts-Kinderspital beider BaselBaselSchweiz

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