O91.112
Abscess of breast associated with pregnancy, second trimester
Clinical Classification Guidelines
Medical Intelligence & Overview
An abscess of the breast during pregnancy, particularly in the second trimester, is a localized infection that results in a collection of pus within the breast tissue. This condition, classified under ICD-10 code O91.112, requires careful management to protect both maternal health and the ongoing pregnancy. Recognizing the signs and understanding the causes can help with early intervention and appropriate treatment.
Causes & Symptoms
Clinical Causes: Bacterial infection, often caused by Staphylococcus aureus or other bacteria entering through cracked or open skin on the breast Blocked milk ducts leading to milk stasis and subsequent infection Breast trauma or injury that introduces bacteria Poor breast hygiene or skin care Pre-existing skin infections or conditions that may spread to the breast tissue Immunological changes during pregnancy that may increase susceptibility to infections
Key Symptoms: Localized swelling and tenderness in the breast A painful, red, and swollen lump or area Presence of pus or abscess formation Fever and chills (systemic symptoms) General discomfort or feeling unwell Warmth and increased temperature over the affected area Possible skin redness or skin breakdown over the abscess
Diagnostic & Treatment
Diagnosis Path: Diagnosis typically involves a physical examination of the breast to identify swelling, redness, and tenderness. Imaging studies such as ultrasound can help confirm the presence of an abscess and distinguish it from other breast conditions. Additionally, sample collection of pus or tissue from the abscess for laboratory analysis can identify the causative bacteria. Laboratory tests, including blood work, may be performed to assess for signs of infection and overall health status during pregnancy.
Treatment Protocols: Managing an abscess of the breast during pregnancy involves a combination of medical interventions aimed at controlling infection and relieving symptoms. Treatment options may include: - **Antibiotic therapy**: Appropriate antibiotics are prescribed to target the infection, considering safety during pregnancy. - **Drainage of the abscess**: Surgical procedures or needle aspiration may be necessary to remove pus and promote healing. - **Pain management**: Using safe analgesics to alleviate discomfort. - **Supportive care**: Rest, adequate hydration, and maintaining breast hygiene. - **Monitoring**: Regular follow-up with healthcare providers to track healing progress and prevent complications. In all cases, it is essential to consult healthcare professionals for personalized management, especially during pregnancy, to ensure both maternal and fetal safety.
Clinical Advice & FAQs
Billing Guidance
Is O91.112 a billable ICD-10 code?
Yes, O91.112 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O91.112?
Clinical documentation must specify the nature of Abscess of breast associated with pregnancy, second trimester and any associated comorbidities for accurate reporting.
Cite this Clinical Reference