Longitudinal vaginal septum, microperforate, left side
ICD-10 Q52.124 is a billable code used to indicate a diagnosis of longitudinal vaginal septum, microperforate, left side.
A longitudinal vaginal septum is a congenital malformation characterized by the presence of a fibrous or muscular partition within the vaginal canal. In the case of a microperforate septum on the left side, the septum is not fully formed, resulting in a narrow opening that may lead to obstructive symptoms. This condition can affect menstrual flow and may cause complications such as hematocolpos, where menstrual blood accumulates in the vagina due to obstruction. Diagnosis typically involves imaging studies such as ultrasound or MRI, and management may require surgical intervention to remove the septum or create a more functional vaginal canal. This condition is part of a broader category of congenital malformations of the genital organs, which can include conditions like hypospadias, cryptorchidism, and uterine malformations. Understanding the implications of these congenital conditions is crucial for effective treatment and management in pediatric patients.
Pediatric documentation should include detailed descriptions of symptoms, physical examination findings, and any imaging studies performed. Growth and development assessments may also be relevant.
Common scenarios include a pediatric patient presenting with abdominal pain or menstrual irregularities, requiring evaluation for congenital malformations.
Special considerations include the age of the patient and the potential for future reproductive health implications.
Genetic documentation should include family history, any genetic testing results, and potential syndromic associations with the congenital condition.
Genetic counseling may be sought for families with a history of congenital malformations or when the condition is part of a recognized syndrome.
Considerations include the need for genetic testing to rule out chromosomal abnormalities that may be associated with the malformation.
Used when surgical intervention is required to correct the septum.
Operative reports detailing the procedure and findings.
Pediatric surgeons may need to document growth and development impacts post-surgery.
Common symptoms include menstrual irregularities, pelvic pain, and potential urinary issues due to obstruction. Patients may also present with complications such as hematocolpos.
