Fistula of vagina to small intestine
ICD-10 N82.2 is a billable code used to indicate a diagnosis of fistula of vagina to small intestine.
A fistula of the vagina to the small intestine is an abnormal connection that forms between the vaginal canal and the small intestine. This condition can arise from various underlying issues, including severe pelvic inflammatory disease, endometriosis, or complications from surgical procedures. In women with endometriosis, the presence of ectopic endometrial tissue can lead to inflammation and scarring, which may contribute to the formation of a fistula. Additionally, female genital prolapse can create pressure and structural changes that predispose to fistula formation. Ovarian disorders, such as cysts or tumors, may also play a role in the development of fistulas by causing adjacent tissue damage. Polyps in the female genital tract can lead to obstruction and subsequent fistula formation if they cause significant tissue changes. Symptoms of a vaginal fistula may include abnormal vaginal discharge, fecal incontinence, and recurrent urinary tract infections. Diagnosis typically involves a thorough clinical examination, imaging studies, and sometimes endoscopic evaluation to assess the extent of the fistula and any associated complications.
Detailed surgical history, imaging results, and symptomatology related to the fistula.
Management of endometriosis leading to fistula formation, surgical repair of fistulas.
Ensure all associated conditions are documented to support the complexity of the case.
Comprehensive assessment of bowel function and any surgical history related to the gastrointestinal tract.
Repair of vaginal fistulas in patients with concurrent bowel disease.
Collaboration with gynecologists for accurate coding of fistula types.
Used when performing surgical repair of a vaginal fistula.
Operative report detailing the procedure and indication for surgery.
Gynecologists and colorectal surgeons may collaborate on these cases.
Common causes include endometriosis, pelvic inflammatory disease, surgical complications, and malignancies. Chronic inflammation and tissue damage are significant contributors.
Diagnosis typically involves a clinical examination, imaging studies such as MRI or CT scans, and sometimes endoscopic evaluation to assess the extent of the fistula.
