Hematometra
ICD-10 N85.7 is a billable code used to indicate a diagnosis of hematometra.
Hematometra refers to the accumulation of blood within the uterine cavity, typically due to obstruction of menstrual flow. This condition can arise from various causes, including cervical stenosis, uterine fibroids, or congenital anomalies. Patients may present with symptoms such as abdominal pain, abnormal uterine bleeding, or signs of acute abdomen if the hematometra becomes significant. Diagnosis is often confirmed through imaging studies such as ultrasound, which can reveal an enlarged uterus filled with echogenic fluid or blood. Treatment usually involves addressing the underlying cause, which may include dilation of the cervix, surgical intervention to remove obstructions, or other gynecological procedures. Hematometra is a significant condition that can lead to complications such as infection or endometrial hyperplasia if not managed appropriately. Understanding the etiology and management of hematometra is crucial for healthcare providers to ensure timely intervention and prevent adverse outcomes.
Detailed documentation of patient history, physical examination findings, imaging results, and treatment plans.
Patients presenting with pelvic pain, abnormal bleeding, or findings on ultrasound indicating hematometra.
Ensure that all relevant diagnostic tests and their results are documented to support the diagnosis.
Clear imaging reports that specify the presence of hematometra and any associated findings.
Ultrasound or MRI evaluations of patients with suspected uterine abnormalities.
Radiologists should provide comprehensive reports that correlate imaging findings with clinical symptoms.
Performed in cases of significant hematometra due to fibroids or other obstructions.
Document the indication for surgery, including the diagnosis of hematometra.
Obstetricians should ensure that all pre-operative evaluations are documented.
Common causes include cervical stenosis, uterine fibroids, and congenital anomalies. Each of these can obstruct menstrual flow, leading to blood accumulation in the uterus.
