title: [Non-abdominally-induced abdominal pain].
abstract: In 5 percent of adult patients with symptoms of acute abdominal illness ("Akutes Abdomen") several extraabdominal diseases can be responsible: pulmonary; cardiovascular; retroperitoneal, metabolic diseases; exogenous intoxications; varia. It often is difficult to look through the pathophysiological ways of abdominal pain perception. Besides direct stimulation of receptors by toxines and/or metabolic products, transmission of pain ("übertragener Schmerz") is as known for pain perception as emotional factors are. The decision not to operate is difficult and requires safe and immediate differential diagnosis, which mostly is achieved by a precise patient's history, clinical features like localisation and quality of pain as well as technical and laboratory studies.
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology* / Q000601:surgery; D002318:Cardiovascular Diseases / Q000150:complications; D003937:Diagnosis, Differential; D006801:Humans; D008171:Lung Diseases / Q000150:complications; D008659:Metabolic Diseases / Q000150:complications; D014570:Urologic Diseases / Q000150:complications
vernacular_title: Nicht-abdominell bedingte Bauchschmerzen.