Congenital absence, atresia and stenosis of ileum
ICD-10 Q41.2 is a billable code used to indicate a diagnosis of congenital absence, atresia and stenosis of ileum.
Congenital absence, atresia, and stenosis of the ileum are serious congenital malformations of the digestive system that can significantly impact a newborn's health. The ileum, which is the final section of the small intestine, plays a crucial role in nutrient absorption. In cases of atresia, the ileum is either absent or obstructed, leading to severe feeding difficulties and potential bowel obstruction. This condition is often diagnosed shortly after birth, typically presenting with symptoms such as bilious vomiting, abdominal distension, and failure to pass meconium. Surgical intervention is usually required to correct the malformation, and the prognosis can vary based on the severity of the condition and any associated anomalies. Congenital malformations of the digestive system, such as esophageal atresia, Hirschsprung disease, and gastroschisis, share similar challenges in diagnosis and management, emphasizing the need for comprehensive pediatric care. Early detection and intervention are critical to improving outcomes for affected infants.
Pediatric documentation must include detailed birth history, clinical findings, and surgical reports. It is essential to document the infant's growth and development post-surgery.
Common scenarios include newborns presenting with bilious vomiting and abdominal distension, requiring immediate surgical evaluation.
Consideration must be given to the infant's overall health, potential for associated congenital anomalies, and the need for multidisciplinary care.
Genetic documentation should include family history, genetic testing results, and any syndromic associations with congenital malformations.
Scenarios may involve genetic counseling for families with a history of congenital digestive malformations.
Genetic coding must accurately reflect any chromosomal abnormalities or syndromes associated with the congenital condition.
Used in cases of ileal atresia requiring diversion of intestinal contents.
Surgical reports must detail the procedure and any complications.
Pediatric surgeons must document the rationale for the procedure and any associated risks.
Common surgical interventions for congenital absence, atresia, and stenosis of the ileum include resection of the affected segment and anastomosis, or creation of an ileostomy if necessary. The choice of procedure depends on the severity of the condition and the presence of any associated anomalies.
