S35.238
Other injury of inferior mesenteric artery
Clinical Classification Guidelines
Medical Intelligence & Overview
Injury to the inferior mesenteric artery (IMA) is a rare but serious medical condition resulting from trauma or other causes that damage this major blood vessel. The IMA supplies blood to large portions of the lower bowel, including the descending colon, sigmoid colon, and rectum. Damage to this artery can lead to significant bleeding, compromised blood flow to the intestines, and potentially life-threatening complications. Proper diagnosis and timely treatment are crucial for managing this injury.
Causes & Symptoms
Clinical Causes: Blunt abdominal trauma from accidents, falls, or sports injuries Penetrating injuries such as stab wounds or gunshot wounds Surgical complications during procedures involving the lower abdomen Medical conditions causing rupture or weakening of blood vessel walls Severe infections leading to vascular erosion Trauma from heavy lifting or sudden increased intra-abdominal pressure
Key Symptoms: Sudden onset of abdominal pain, often localized or radiating Signs of internal bleeding, such as dizziness, fainting, or rapid heartbeat Abdominal tenderness and swelling Signs of intestinal ischemia, including nausea, vomiting, or changes in bowel habits In severe cases, shock due to blood loss
Diagnostic & Treatment
Diagnosis Path: Physical examination assessing abdominal tenderness and signs of bleeding Imaging studies like computed tomography (CT) scans to visualize bleeding or vessel injury Angiography, an imaging procedure that uses contrast dye to outline blood vessels and identify leaks or damage Ultrasound may be used to detect free fluid in the abdomen indicating bleeding Laboratory tests measuring blood counts and markers of bleeding
Treatment Protocols: Stabilizing the patient with fluids and blood transfusions to address shock and blood loss Surgical repair, including vessel ligation or reconstruction, to control bleeding and restore blood flow Endovascular procedures such as embolization to block bleeding vessels in selected cases Monitoring and supportive care in an intensive care setting Treating any associated injuries or complications, including infection prevention and management
Clinical Advice & FAQs
Billing Guidance
Is S35.238 a billable ICD-10 code?
Yes, S35.238 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report S35.238?
Clinical documentation must specify the nature of Other injury of inferior mesenteric artery and any associated comorbidities for accurate reporting.
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