Torsion of ovary, ovarian pedicle and fallopian tube
ICD-10 N83.5 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, leading to compromised blood flow. This condition can result in ischemia and necrosis of the affected ovary if not promptly diagnosed and treated. Torsion often presents with sudden onset abdominal or pelvic pain, nausea, and vomiting. It is more common in women of reproductive age and can occur in the presence of ovarian cysts, masses, or anatomical abnormalities. The diagnosis is typically confirmed through imaging studies such as ultrasound, which may show an enlarged, edematous ovary and the absence of venous flow. Surgical intervention is usually required to untwist the affected structures and assess for viability. In some cases, the affected ovary may need to be removed if necrosis has occurred. Early recognition and treatment are crucial to preserve ovarian function and prevent complications.
Detailed documentation of patient history, physical examination findings, imaging results, and surgical notes.
Patients presenting with acute pelvic pain, suspected ovarian masses, or previous history of ovarian cysts.
Ensure that all surgical interventions and findings are clearly documented to support the diagnosis.
Thorough documentation of initial assessment, imaging results, and any interventions performed in the emergency setting.
Patients presenting with acute abdominal pain, requiring rapid assessment and possible surgical referral.
Document the time of onset of symptoms and any changes in the patient's condition.
Used for surgical intervention in cases of ovarian torsion.
Document the surgical approach, findings, and any procedures performed.
Ensure that the surgical specialty is clearly indicated in the documentation.
Common symptoms include sudden onset of severe pelvic or abdominal pain, nausea, vomiting, and sometimes fever. Patients may also present with unilateral tenderness on examination.
