Torsion of fallopian tube
ICD-10 N83.52 is a billable code used to indicate a diagnosis of torsion of fallopian tube.
Torsion of the fallopian tube is a condition characterized by the twisting of the fallopian tube, which can lead to obstruction of blood flow and subsequent ischemia. This condition is often associated with acute abdominal pain and may present with nausea and vomiting. Torsion can occur due to various factors, including anatomical abnormalities, pelvic masses, or prior surgical interventions. In women with endometriosis, the presence of adhesions can increase the risk of torsion. Additionally, conditions such as ovarian cysts or tumors can contribute to the likelihood of torsion by altering the normal anatomical position of the fallopian tube. Diagnosis typically involves imaging studies such as ultrasound or MRI to assess blood flow and identify any associated pelvic pathology. Prompt surgical intervention is often required to untwist the tube and restore blood flow, as prolonged torsion can lead to necrosis and loss of the tube. Understanding the relationship between torsion and other gynecological disorders, such as female genital prolapse and ovarian disorders, is crucial for accurate diagnosis and management.
Detailed documentation of symptoms, imaging results, and surgical findings is essential.
Patients presenting with acute pelvic pain, especially those with a history of endometriosis or ovarian disorders.
Consideration of the patient's reproductive history and any prior surgeries that may contribute to torsion risk.
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 critical to prevent complications.
Used when surgical intervention for torsion is performed.
Document the indication for surgery and findings during the procedure.
Gynecologists should ensure accurate coding of the procedure performed.
Common symptoms include sudden onset of severe abdominal pain, nausea, vomiting, and sometimes fever. Patients may also present with unilateral pelvic pain.
Diagnosis is typically made through imaging studies such as ultrasound or MRI, which can assess blood flow and identify the presence of torsion.
Treatment usually involves surgical intervention to untwist the fallopian tube and restore blood flow. In some cases, the affected tube may need to be removed if necrosis has occurred.
