Zusammenfassung
Das akute Abdomen bei älteren Patienten weist im Vergleich zu jüngeren Patienten einige Besonderheiten auf: So unterscheidet sich die relative Häufigkeit der zugrunde liegenden Erkrankungen in einigen Entitäten deutlich. Darüber hinaus weisen ältere Patienten wegen einer Atrophie der muskulären Bauchdecken und einer ggf. begleitenden Immunkompromittierung eine für das jeweilige Krankheitsbild weniger typische Präsentation bis zur fehlenden Ausbildung von Peritonitiszeichen auf. Nicht selten handelt es sich um multimorbide Patienten in reduziertem Allgemein- und Ernährungszustand, sodass eine höhere Morbidität und Mortalität in diesem Patientenkollektiv besteht. Diese Aspekte müssen sowohl in der Diagnostik als auch in der Therapie Berücksichtigung finden.
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Weinrich, M., Klar, E. (2016). Akutes Abdomen im Alter. In: Hauser, H., Buhr, H., Mischinger, HJ. (eds) Akutes Abdomen. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1473-5_48
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