S37.43
Laceration of ovary
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the ovary refers to a tear or cut involving the ovarian tissue, often resulting from trauma or injury. Such injuries can pose significant health concerns, especially due to the ovary’s vital role in reproduction and hormone production. Although less common than other types of injuries, an ovarian laceration requires careful medical attention to prevent complications and preserve ovarian function.
Causes & Symptoms
Clinical Causes: Trauma or blunt injury to the lower abdomen or pelvis, such as from falls, motor vehicle accidents, or physical assaults. Surgical procedures involving the pelvis or ovaries, where inadvertent tears may occur. Medical instruments used during gynecological or abdominal surgeries that inadvertently cause injury. Severe pelvic inflammatory disease leading to tissue weakening and rupture. Rare cases of spontaneous laceration during physiological conditions, such as during ovulation or due to ovarian cyst rupture.
Key Symptoms: Sudden onset pain in the lower abdomen or pelvis. Swelling or tenderness localized around the affected ovary. Possible bleeding leading to internal hemorrhage, which may cause symptoms like dizziness or fainting. Nausea or vomiting associated with intense pain or bleeding. Signs of shock in severe cases, such as rapid heartbeat or low blood pressure.
Diagnostic & Treatment
Diagnosis Path: Ultrasound imaging, which can reveal ovarian swelling, fluid accumulation, or hematoma. Computed tomography (CT) scan for detailed visualization of pelvic structures if ultrasound results are inconclusive. Laparoscopy, a minimally invasive surgical procedure that allows direct visualization of the ovaries and surrounding tissues, often performed both for diagnosis and treatment.
Treatment Protocols: Conservative observation for minor lacerations with close monitoring of symptoms and imaging. Surgical intervention to repair the tear, which may involve suturing the ovarian tissue to restore its integrity. In cases of significant bleeding or damage, removal of the affected ovary (oophorectomy) might be necessary. Blood transfusions may be required if substantial blood loss has occurred. Post-treatment follow-up to monitor recovery and ovarian function.
Clinical Advice & FAQs
Billing Guidance
Is S37.43 a billable ICD-10 code?
Yes, S37.43 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S37.43?
Clinical documentation must specify the nature of Laceration of ovary and any associated comorbidities for accurate reporting.
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