S35.232
Major laceration of inferior mesenteric artery
Clinical Classification Guidelines
Inclusion Terms
- Complete transection of inferior mesenteric artery
- Traumatic rupture of inferior mesenteric artery
Medical Intelligence & Overview
A major laceration of the inferior mesenteric artery refers to a severe tear or complete transection of this vital blood vessel. The inferior mesenteric artery is an important artery in the abdomen that supplies blood to the large intestine and rectum. Such injuries are often caused by trauma and can lead to significant medical emergencies, requiring prompt diagnosis and management.
Causes & Symptoms
Clinical Causes: Trauma from blunt force impacts, such as car accidents or falls Penetrating injuries, including stab wounds or gunshot wounds Surgical complications or accidental injuries during abdominal procedures Sudden or severe abdominal trauma from sports or other activities
Key Symptoms: Sudden onset of severe abdominal pain Signs of internal bleeding, such as dizziness, weakness, or fainting Abdominal swelling or tenderness Rapid heartbeat and low blood pressure in cases of significant blood loss Nausea or vomiting Possible rectal bleeding if the injury affects the bowel
Diagnostic & Treatment
Diagnosis Path: Physical examination to assess signs of shock and abdominal tenderness Imaging studies such as computed tomography (CT) scan with contrast to visualize vascular injuries Angiography, which involves injecting dye into blood vessels to identify bleeding points Laboratory tests to evaluate blood loss and overall health status, including hemoglobin levels
Treatment Protocols: Emergency surgery to repair or ligate the damaged artery Control of bleeding through vascular repair techniques or vessel ligation Supportive care, including blood transfusions if significant blood loss has occurred Monitoring for complications such as infection or ongoing bleeding post-procedure Postoperative care may involve antibiotics, pain management, and imaging follow-up
Clinical Advice & FAQs
Billing Guidance
Is S35.232 a billable ICD-10 code?
Yes, S35.232 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S35.232?
Clinical documentation must specify the nature of Major laceration of inferior mesenteric artery and any associated comorbidities for accurate reporting.
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