Puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity
ICD-10 S31.131 is a billable code used to indicate a diagnosis of puncture wound of abdominal wall without foreign body, left upper quadrant without penetration into peritoneal cavity.
A puncture wound of the abdominal wall in the left upper quadrant indicates a breach in the skin and underlying tissues without the introduction of a foreign body and without penetration into the peritoneal cavity. This type of injury can occur due to various mechanisms, including accidental trauma from sharp objects or intentional injuries. Clinically, it is essential to assess the wound for signs of infection, bleeding, and damage to underlying structures such as muscles, nerves, and blood vessels. The absence of penetration into the peritoneal cavity is significant as it reduces the risk of intra-abdominal complications such as peritonitis or organ injury. Management typically involves wound care, possible suturing, and monitoring for complications. In emergency settings, a thorough evaluation is crucial to rule out associated injuries, especially in cases of abdominal trauma, where other organs may be affected. The left upper quadrant is anatomically significant as it houses vital organs, including the spleen and parts of the stomach, necessitating careful assessment and management.
Detailed description of the injury mechanism, assessment findings, and treatment provided.
Patients presenting with stab wounds, accidental punctures, or sports-related injuries.
Ensure that all relevant anatomical structures are assessed and documented to avoid complications.
Operative reports detailing the surgical intervention, if performed, and post-operative care.
Surgical repair of abdominal wall defects or management of complications from puncture wounds.
Documentation must reflect the surgical approach and any findings during the procedure.
Used for suturing the puncture wound in the left upper quadrant.
Document the size of the wound and the method of repair.
Emergency medicine and surgical specialties should ensure accurate coding based on the complexity of the repair.
S31.131 refers to a puncture wound without penetration into the peritoneal cavity, while S31.132 indicates a puncture wound with penetration into the peritoneal cavity, which carries a higher risk of complications.
