S35.414
Laceration of right renal vein
Clinical Classification Guidelines
Medical Intelligence & Overview
A laceration of the right renal vein is a break or tear in the vein that carries blood away from the right kidney. This injury often results from trauma and can lead to significant bleeding and complications if not managed promptly. Recognizing the implications of this condition is important for understanding potential health impacts and treatment options.
Causes & Symptoms
Clinical Causes: Blunt or penetrating trauma to the right side of the body, such as car accidents, falls, or sports injuries Surgical complications involving the kidney or nearby structures Crush injuries to the abdomen Penetrating objects impacting the lower back or flank area
Key Symptoms: Severe flank or abdominal pain on the right side Rapidly increasing or persistent bleeding Signs of shock, including confusion, sweating, or fainting Swelling or bruising in the right flank region Decreased urine output if kidney function is affected Potential blood in the urine (hematuria)
Diagnostic & Treatment
Diagnosis Path: Computed Tomography (CT) scan with contrast to visualize bleeding and vascular injury Doppler ultrasound to assess blood flow in the renal vessels Angiography, which involves injecting dye into the blood vessels and taking X-ray images Physical examination focusing on signs of internal bleeding and abdominal tenderness
Treatment Protocols: Initial stabilization with fluid resuscitation and blood transfusions if necessary Surgical intervention to repair the laceration, which may involve vein repair or ligation Endovascular procedures, like embolization, to control bleeding without open surgery Monitoring and supportive care in a hospital setting to prevent complications Post-treatment imaging to ensure proper healing and vascular integrity
Clinical Advice & FAQs
Billing Guidance
Is S35.414 a billable ICD-10 code?
Yes, S35.414 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S35.414?
Clinical documentation must specify the nature of Laceration of right renal vein and any associated comorbidities for accurate reporting.
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