K55.04
Acute infarction of large intestine
Clinical Classification Guidelines
Inclusion Terms
- Gangrene of large intestine
- Necrosis of large intestine
Medical Intelligence & Overview
Acute infarction of the large intestine is a serious medical condition resulting from a sudden loss of blood supply to a part of the large intestine. This deprivation of blood causes tissue death, or necrosis, which can lead to gangrene if not treated promptly. Recognized under the ICD-10 code K55.04, this condition requires immediate medical attention to prevent severe complications.
Causes & Symptoms
Clinical Causes: Blood clots blocking arteries supplying the large intestine Atherosclerosis leading to narrowed blood vessels Embolism resulting from traveling blood clots Vasculitis, inflammation of blood vessels Low blood pressure or shock reducing blood flow Intestinal twist (volvulus) impeding circulation Narrowing or constriction of blood vessels (vasospasm)
Key Symptoms: Sudden, severe abdominal pain Abdominal tenderness and swelling Nausea and vomiting Fever and chills Rectal bleeding or bloody stools Signs of shock such as dizziness, rapid heartbeat, and sweating Loss of appetite General weakness
Diagnostic & Treatment
Diagnosis Path: Physical examination assessing abdominal tenderness and signs of peritonitis Blood tests to check for inflammation, infection, and blood clotting issues Imaging studies such as abdominal ultrasound, computed tomography (CT) scan, or angiography to visualize blood flow and detect blockages Endoscopy or sigmoidoscopy to directly examine the interior of the large intestine and identify necrosis Biopsy in some cases to confirm tissue death
Treatment Protocols: Emergency surgery to remove the dead tissue and prevent further spread of necrosis Restoring blood flow through bypass surgery or catheter-based procedures Administration of antibiotics to prevent or treat infection Supportive care such as IV fluids, pain management, and monitoring in intensive care units Addressing underlying causes like blood clotting disorders or vascular issues
Clinical Advice & FAQs
Billing Guidance
Is K55.04 a billable ICD-10 code?
Yes, K55.04 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report K55.04?
Clinical documentation must specify the nature of Acute infarction of large intestine and any associated comorbidities for accurate reporting.
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