Torsion of left ovary and ovarian pedicle
ICD-10 N83.512 is a billable code used to indicate a diagnosis of torsion of left ovary and ovarian pedicle.
Torsion of the left ovary and its pedicle is a surgical emergency characterized by the twisting of the ovary around its supporting ligaments, leading to compromised blood flow. This condition can result in ischemia and necrosis of the ovarian tissue if not promptly diagnosed and treated. Symptoms typically include sudden onset of unilateral pelvic pain, nausea, vomiting, and sometimes fever. Physical examination may reveal unilateral adnexal tenderness and a palpable adnexal mass. Imaging studies, particularly ultrasound with Doppler flow studies, are crucial for diagnosis, as they can help visualize the twisted pedicle and assess blood flow to the ovary. Torsion can occur in the presence of ovarian cysts, tumors, or anatomical abnormalities, and it may be associated with conditions such as endometriosis, which can alter the normal anatomy of the pelvic organs. Timely surgical intervention is essential to untwist the ovary and restore blood flow, and in some cases, oophorectomy may be necessary if the ovary is necrotic. Understanding the relationship between torsion and other gynecological disorders, such as endometriosis and ovarian cysts, is vital for accurate diagnosis and management.
Detailed clinical notes on symptoms, imaging results, and surgical findings.
Patients presenting with acute pelvic pain, suspected ovarian masses, or history of ovarian cysts.
Consideration of the patient's reproductive history and any previous gynecological surgeries.
Thorough assessment notes, including vital signs and initial imaging results.
Patients presenting to the emergency department with acute abdominal pain and nausea.
Rapid assessment and documentation are crucial for timely surgical intervention.
Used for surgical intervention in cases of ovarian torsion.
Document the procedure performed, findings, and any complications.
Ensure that the surgical specialty is clearly indicated in the documentation.
Common symptoms include sudden unilateral pelvic pain, nausea, vomiting, and sometimes fever. Physical examination may reveal adnexal tenderness.
