Torsion of ovary, ovarian pedicle and fallopian tube
ICD-10 N83.53 is a billable code used to indicate a diagnosis of torsion of ovary, ovarian pedicle and fallopian tube.
Torsion of the ovary, ovarian pedicle, and fallopian tube is a surgical emergency characterized by the twisting of the ovary and its supporting structures, which can lead to compromised blood flow and subsequent ischemia. This condition is most commonly seen in women of reproductive age and can occur spontaneously or as a result of underlying conditions such as ovarian cysts, tumors, or anatomical abnormalities. Symptoms typically include sudden onset of unilateral abdominal or pelvic pain, nausea, vomiting, and sometimes fever. Diagnosis is often made through a combination of clinical evaluation and imaging studies, such as ultrasound, which may reveal an enlarged, edematous ovary or the presence of free fluid. Prompt surgical intervention is critical to untwist the affected structures and restore blood flow, as delayed treatment can result in ovarian necrosis. The condition may also be associated with other gynecological disorders, including endometriosis, which can complicate the clinical picture and management.
Detailed clinical notes on symptoms, imaging results, and surgical findings.
Patients presenting with acute pelvic pain, suspected ovarian cysts, or previous history of torsion.
Consideration of the patient's reproductive history and any underlying gynecological disorders.
Thorough assessment notes, including vital signs, pain assessment, and initial imaging results.
Patients presenting to the emergency department with acute abdominal pain.
Rapid assessment and documentation are crucial for timely intervention.
Used when surgical intervention is required for torsion.
Document the indication for surgery and findings during the procedure.
Obstetricians should ensure detailed operative notes are available.
Common symptoms include sudden unilateral pelvic pain, nausea, vomiting, and sometimes fever. Patients may also experience abdominal tenderness.
