Name of the Condition

• Postprocedural hepatic failure
• Technical term: Postprocedural liver failure

Summary

Postprocedural hepatic failure is a serious condition where the liver ceases to function properly after a medical procedure. This condition requires prompt medical attention, as the liver is vital for detoxifying the blood, producing essential proteins, and aiding in digestion.

Causes

• Surgical procedures on or near the liver
• Blood flow disruption during surgical operations
• Adverse reactions to anesthesia or other medications used during the procedure

Risk Factors

• Pre-existing liver conditions (e.g., cirrhosis, hepatitis)
• Alcohol abuse
• Advanced age
• Complex or extensive surgeries

Symptoms

• Jaundice (yellowing of the skin and eyes)
• Nausea and vomiting
• Abdominal pain or swelling
• Confusion or altered mental state
• Fatigue and weakness

Diagnosis

• Blood tests to evaluate liver function (e.g., liver enzymes, bilirubin levels)
• Imaging studies such as MRI or CT scans to assess liver structure
• Physical examination to check for signs of liver dysfunction

Treatment Options

• Medications to support liver function and prevent infections
• Nutritional support including vitamin supplementation
• Possible liver transplant in severe cases
• Management of fluid balance and electrolytes

Prognosis and Follow-Up

• Prognosis depends on patient’s overall health, extent of liver damage, and response to treatment
• Regular follow-up visits to monitor liver function and overall recovery
• Potential for full recovery if treated promptly, though some patients may require long-term care

Complications

• Acute liver failure leading to multi-organ failure
• Increased risk of infections
• Electrolyte imbalances
• Prolonged hospitalization

Lifestyle & Prevention

• Avoiding alcohol and hepatotoxic substances
• Proper pre-surgical assessment and optimization to minimize risks
• Maintaining a healthy diet to support liver function

When to Seek Professional Help

• Sudden onset of jaundice
• Severe abdominal pain
• Mental confusion or severe fatigue
• Rapid swelling of the abdomen

Additional Resources

• American Liver Foundation: www.liverfoundation.org
• Mayo Clinic’s Liver Disease Information: www.mayoclinic.org

Tips for Medical Coders

• Ensure accurate selection of the ICD-10 code K91.82 for postprocedural hepatic failure.
• Document and code any underlying conditions or events leading to liver failure.
• Verify procedure details and the timeline to distinguish postprocedural complications accurately.