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coloproctology

, Volume 40, Issue 6, pp 463–473 | Cite as

Analer Schmerz – Notfälle in der Proktologie

Analfissur, perianale Venenthrombose, Analprolaps
  • M. Roblick
  • S. Farke
CME
  • 65 Downloads

Zusammenfassung

Anale Schmerzen sind in den meisten Fällen heftig und erfordern neben der Diagnostik eine rasche und suffiziente Behandlung. Dabei ist die Schmerztherapie an erster Stelle zu nennen. Neben der Erhebung der Anamnese, der Inspektion des Befunds inklusive digitaler Untersuchung sind in den meisten Fällen nur noch einfache Maßnahmen wie z. B. eine Prokto- bzw. Rektoskopie nötig. Schnittbilduntersuchungen haben keinen Stellenwert, in besonderen Fällen kann eine Untersuchung in Narkose notwendig werden.

Schlüsselwörter

Analfissur Analprolaps Venenthrombose Proktoskopie Schmerzmanagement 

Anal pain—proctologic emergencies

Anal fissure, perianal venous thrombosis, anal prolapse

Abstract

Anal pain is usually severe, requiring rapid and sufficient treatment as well as appropriate diagnostic procedures. Pain therapy is of paramount importance. In addition to taking a medical history and analyzing the findings including a digital examination, most cases require only simple procedures, such as proctoscopy or rectoscopy. Cross-sectional imaging is of no value, whereas an examination under anesthetic may be necessary in special cases.

Keywords

Anal fissure Anus prolapse Venous thrombosis Proctoscopy Pain management 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

M. Roblick und S. Farke geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  1. 1.Allgemein- und Viszeralchirurgie, minimal-invasive Chirurgie und KoloproktologieSt. Marien-Krankenhaus BerlinBerlinDeutschland

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