Torsion of ovary and ovarian pedicle
ICD-10 N83.51 is a billable code used to indicate a diagnosis of torsion of ovary and ovarian pedicle.
Torsion of the ovary and its pedicle is a surgical emergency characterized by the twisting of the ovary around its supporting ligaments, leading to compromised blood flow. This condition can occur in women of any age but is most common in those of reproductive age. Symptoms typically include sudden onset of unilateral abdominal or pelvic pain, nausea, vomiting, and sometimes fever. Physical examination may reveal unilateral adnexal tenderness and a palpable adnexal mass. Diagnosis is often confirmed through imaging studies such as ultrasound, which may show an enlarged, edematous ovary and the absence of venous or arterial flow. Prompt surgical intervention is critical to untwist the ovary and restore blood flow, as prolonged torsion can lead to ovarian necrosis. In some cases, torsion may be associated with underlying conditions such as endometriosis, ovarian cysts, or tumors, which can predispose the ovary to twisting. Understanding the relationship between torsion and other gynecological disorders is essential for accurate diagnosis and management.
Detailed documentation of patient history, physical examination findings, imaging results, and surgical notes.
Patients presenting with acute pelvic pain, suspected ovarian masses, or complications from endometriosis.
Consideration of the patient's reproductive history and any previous gynecological surgeries that may affect the presentation.
Thorough documentation of initial assessment, imaging results, and any interventions performed.
Patients presenting to the emergency department with acute abdominal pain and suspected torsion.
Rapid assessment and intervention are crucial; documentation must reflect the urgency of the situation.
Used for surgical intervention in cases of ovarian torsion.
Document the surgical findings, procedures performed, and any complications.
Ensure that the surgical notes are detailed to support the coding.
Common symptoms include sudden unilateral pelvic or abdominal pain, nausea, vomiting, and sometimes fever. Physical examination may reveal tenderness and a palpable mass.
Diagnosis is typically made through imaging studies, particularly ultrasound, which can show an enlarged ovary and lack of blood flow.
The primary treatment is surgical intervention to untwist the ovary and restore blood flow. In cases of necrosis, oophorectomy may be necessary.
Yes, endometriosis can increase the risk of ovarian torsion due to anatomical changes and the presence of cysts.
