Doubling of uterus with doubling of cervix and vagina with obstruction
ICD-10 Q51.11 is a billable code used to indicate a diagnosis of doubling of uterus with doubling of cervix and vagina with obstruction.
Doubling of the uterus, cervix, and vagina, also known as uterine didelphys, is a rare congenital malformation resulting from abnormal embryonic development of the Müllerian ducts. This condition can lead to the presence of two uteri, two cervices, and a double vagina, which may be associated with various complications, including obstruction of the vaginal canal. Patients may present with symptoms such as dysmenorrhea, abnormal menstrual flow, or complications during pregnancy. Diagnosis is typically made through imaging studies such as ultrasound or MRI, which can visualize the anatomical anomalies. Management may involve surgical intervention to alleviate obstruction or address associated complications. Understanding this condition is crucial for pediatricians and gynecologists, as it can impact reproductive health and necessitate careful monitoring and management throughout a patient's life.
Detailed history of symptoms, physical examination findings, and imaging results are essential for accurate coding.
Pediatric patients presenting with abdominal pain, menstrual irregularities, or urinary symptoms may require evaluation for congenital malformations.
Consideration of associated anomalies and the need for multidisciplinary care is crucial in pediatric cases.
Genetic counseling notes and family history documentation are important for understanding potential hereditary patterns.
Patients with a family history of congenital malformations may undergo genetic testing and counseling.
Awareness of chromosomal abnormalities that may co-occur with uterine malformations is important for comprehensive care.
Used in cases where surgical intervention is necessary to address obstruction or other complications.
Operative reports detailing the findings and procedures performed.
Gynecological specialists should ensure accurate coding of the procedure in relation to the diagnosis.
Complications can include obstructive symptoms, recurrent urinary tract infections, and challenges during pregnancy, such as preterm labor or malpresentation.
