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Ein Beitrag zur Pseudoperitonitis diabetica

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Zusammenfassung

2 Patienten entwickelten im Rahmen einer diabetischen Stoffwechselentgleisung ein akutes abdominelles Zustandsbild und wurden laparotomiert. Im diabetischen Präkoma sollte zunächst die Wirkung der Insulin- und Infusionstherapie durch einige Stunden abgewartet werden. Bessert sich die abdominelle Symptomatik mit der Normalisierung der Hyperglykämie nicht, so ist selbst bei dem Verdacht auf eine Pseudoperitonitis diabetica die Laparotomie indiziert.

Summary

Two cases were operated upon because they demonstrated symptoms of peritonitis in the course of diabetic precoma. In this situation laparotomy should be defered until the hyperglycemia has been corrected by appro-priate therapy. However, if symptoms persist after normalization of blood glucose explorative laparotomy becomes mandatory.

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Author notes

  1. M. Kux

    Present address: I. Chirurgische Universitätsklinik, Alser Straße 4, A-1097, Wien

Authors and Affiliations

  1. I. Chirurgische Universitätsklinik, Alser Straße 4, A-1097, Wien

    D. Depisch, R. Roka & W. Wayand

Authors
  1. M. Kux
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  2. D. Depisch
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  3. R. Roka
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  4. W. Wayand
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Kux, M., Depisch, D., Roka, R. et al. Ein Beitrag zur Pseudoperitonitis diabetica. Acta Chir Austriaca 8, 108–110 (1976). https://doi.org/10.1007/BF02601072

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  • DOI: https://doi.org/10.1007/BF02601072

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