Congenital fistulae between uterus and digestive and urinary tracts
ICD-10 Q51.7 is a billable code used to indicate a diagnosis of congenital fistulae between uterus and digestive and urinary tracts.
Congenital fistulae between the uterus and the digestive or urinary tracts represent a rare but significant group of congenital malformations. These fistulae can lead to abnormal connections that may cause complications such as urinary incontinence, fecal incontinence, and recurrent urinary tract infections. The condition often arises from improper development during embryogenesis, where the normal separation of the urogenital and gastrointestinal tracts fails to occur. Clinically, patients may present with symptoms such as abnormal vaginal discharge, fecal matter in the urine, or urinary leakage from the vagina. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may require surgical intervention to correct the anatomical defect. The complexity of these cases often necessitates a multidisciplinary approach, involving pediatric surgeons, urologists, and gynecologists, particularly in pediatric populations where growth and development are critical considerations.
Pediatric documentation should include detailed growth and developmental assessments, family history of congenital anomalies, and specific symptoms related to the fistula.
Common scenarios include newborns presenting with urinary incontinence or abnormal discharge, requiring immediate evaluation.
Considerations include the impact of the condition on growth and development, as well as the psychosocial implications for the child and family.
Genetic documentation should include family history, potential syndromic associations, and results from genetic testing if applicable.
Scenarios may involve genetic counseling for families with a history of congenital anomalies or syndromes associated with fistulae.
Considerations include the need for genetic evaluation to rule out chromosomal abnormalities or syndromic conditions.
Used in cases where surgical intervention is required to correct the fistula.
Detailed operative notes and pre-operative assessments.
Pediatric surgeons should document the specific techniques used during repair.
Common symptoms include abnormal vaginal discharge, fecal matter in the urine, urinary incontinence, and recurrent urinary tract infections. Early diagnosis and management are crucial to prevent complications.
