Acute abdomen : What does the nonradiologist expect from the radiologist?

• Published in: Radiologe 2020-03, Vol.60 (3), p.193-199
• Main Authors: Alsfasser, G, Klar, E
• Format: Article
• Language: ger
• ISSN: 1432-2102
• DOI: 10.1007/s00117-020-00647-9

The acute abdomen is a life-threatening condition that demands urgent intervention. The required diagnostics should address the core problem and has to be chosen based upon the diagnostic strength of each diagnostic tool. Modalities with limited discriminating information regarding differential diagnosis have to be avoided. Expectancy and thoughts of the radiologist often differ from the view of the clinician in the emergency department. The decision about which diagnostic tools are valuable or unnecessary in the emergency setting is made from a surgeon's point of view. Close communication with radiologists is mandatory. We demonstrate the importance of clinical signs and symptoms and their correlation with helpful radiologic diagnostics. The emergency radiologic diagnostic workup of acute abdomen has to be targeted and the radiologist must answer the questions in order to clarify whether an operation is indicated and to help define the surgical strategy. In emergency surgery as in acute abdomen extended diagnostics to reach a decision is a dangerous waste of time and must be avoided at all costs. Therefore close communication with the radiologist is crucial.