S37.432
Laceration of ovary, bilateral
Clinical Classification Guidelines
Medical Intelligence & Overview
A bilateral ovarian laceration refers to cuts or tears that occur on both ovaries, which are essential reproductive organs in females. Such injuries often result from traumatic events and can impact ovarian function, fertility, and overall health. Recognizing the nature of this injury and its implications is important for appropriate management and recovery.
Causes & Symptoms
Clinical Causes: Traumatic injuries from falls, vehicle accidents, or blunt force impacts Blunt trauma during sports activities or physical altercations Surgical complications or during procedures involving the pelvis Assault or stab wounds that directly damage the pelvic area Rare cases related to obstetric trauma during childbirth or gynecological procedures
Key Symptoms: Sudden, intense pelvic or abdominal pain Vaginal bleeding or spotting Tenderness in the lower abdomen Signs of shock such as dizziness, fainting, or rapid heartbeat in severe cases Swelling or bruising around the pelvic region Nausea or vomiting associated with pain
Diagnostic & Treatment
Diagnosis Path: Medical history review, focusing on recent trauma or injuries Physical examination to assess tenderness, swelling, or signs of internal bleeding Pelvic ultrasound to visualize ovarian injuries and detect fluid or bleeding in the pelvis Computed tomography (CT) scan for detailed imaging if necessary Laparoscopy, a minimally invasive surgical procedure, may be performed to confirm the diagnosis and assess the extent of injury
Treatment Protocols: Conservative management with close monitoring if bleeding is minimal and the patient is stable, including bed rest and pain control Surgical intervention, often via laparoscopy, to repair the tears or remove damaged tissue Blood transfusions if significant blood loss has occurred Post-treatment care involving pain management, antibiotics to prevent infection, and follow-up imaging Fertility counseling or support if reproductive function is impacted
Clinical Advice & FAQs
Billing Guidance
Is S37.432 a billable ICD-10 code?
Yes, S37.432 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S37.432?
Clinical documentation must specify the nature of Laceration of ovary, bilateral and any associated comorbidities for accurate reporting.
Cite this Clinical Reference