Complete doubling of uterus
ICD-10 Q51.21 is a billable code used to indicate a diagnosis of complete doubling of uterus.
Complete doubling of the uterus, also known as uterine didelphys, is a congenital malformation characterized by the presence of two distinct uterine cavities and two cervices, resulting from the failure of the Müllerian ducts to fuse during embryonic development. This condition can lead to various reproductive challenges, including complications during pregnancy, such as preterm labor, miscarriage, and abnormal fetal positioning. Patients may also experience menstrual irregularities and increased risk of ectopic pregnancies. Diagnosis is typically made through imaging studies such as ultrasound or MRI, which can visualize the anatomical differences. Management may involve careful monitoring during pregnancy and potential surgical intervention if associated complications arise. Understanding this condition is crucial for pediatricians and gynecologists, as it can impact future reproductive health and requires a multidisciplinary approach for optimal patient outcomes.
Pediatric documentation should include detailed family history, prenatal exposure, and any associated congenital anomalies. Growth and development assessments are also critical.
Common scenarios include referrals for abnormal ultrasound findings, management of menstrual irregularities, and counseling regarding reproductive health.
Pediatricians should be aware of the psychosocial impact on patients and families, as well as the importance of multidisciplinary care.
Genetic documentation should include family history of congenital anomalies, genetic testing results, and any syndromic associations.
Genetic counseling for families with a history of uterine malformations or other congenital conditions, and discussions regarding recurrence risks.
Geneticists should consider the potential for chromosomal abnormalities and syndromic presentations that may accompany uterine malformations.
Used to evaluate uterine anomalies in patients with suspected congenital malformations.
Document indications for the procedure and findings.
Gynecologists should ensure that the procedure is justified based on clinical findings.
Common complications include increased risk of miscarriage, preterm labor, and abnormal fetal positioning. Patients may also experience menstrual irregularities and require careful monitoring during pregnancy.
