Während der letzten Jahre hat der oberste Gerichtshof (OGH) in Österreich zwei Ultraschallerkenntnisse veröffentlicht: Die Familie einer an einem Ovarialkarzinom verstorbenen Patientin klagte gegen die Gynäkologin, wonach diese es versäumt hatte, den Tumor im Rahmen einer Routine-Vaginalultraschalluntersuchung 8 Monate vor der Erstdiagnose rechtzeitig zu erkennen. Die Kläger bekamen recht, da das Gericht eine Beweislastumkehr zuliess. Faktisch kommt dieses Urteil einer Einführung des Ovarialkarzinomscreenings mit Ultraschall in Österreich gleich. In einem «wrongful life»-Urteil entschied der OGH, dass die Eltern eines Kindes, das mit Knochenfehlbildungen zur Welt kam, um ihr Recht auf Abtreibung gebracht worden waren, weil die Ärzte im Ultraschall die Knochenfehlbildungen nicht erkannt hatten. Die Auswirkungen dieser beiden Fälle auf die Ultraschallpraxis in Gynäkologie und Geburtshilfe in Österreich werden diskutiert.

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