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Cutaneous abscess of abdominal wall

ICD10CM code

Name of the Condition

  • Cutaneous abscess of the abdominal wall
  • Medical Term: Abscess of abdominal wall

Summary

A cutaneous abscess of the abdominal wall is a localized collection of pus within the layers of the abdominal wall, typically resulting from an infectious process. It appears as a swollen, painful area that may be red and warm to the touch.

Causes

  • Bacterial infection, often by Staphylococcus aureus
  • Introduction of bacteria through a skin wound or puncture
  • Poor hygiene or existing skin conditions

Risk Factors

  • Poor immune function, such as in diabetic patients
  • History of skin infections
  • Surgical wounds or trauma to the abdominal area
  • Obesity, as it may contribute to skin folds where bacteria can thrive

Symptoms

  • Red, swollen lump on the abdominal wall
  • Tenderness or pain in the affected area
  • Warmth over the site of the abscess
  • Possible drainage of pus if the abscess ruptures

Diagnosis

  • Physical examination by a healthcare professional
  • Ultrasound or CT scan to assess the size and depth of the abscess
  • Laboratory analysis of pus (if drained) to identify causative bacteria

Treatment Options

  • Incision and drainage to remove pus from the abscess
  • Antibiotics to treat underlying bacterial infection
  • Pain management with analgesics
  • Warm compresses to encourage drainage and healing

Prognosis and Follow-Up

  • With prompt treatment, most abscesses resolve completely.
  • Follow-up is important to ensure the abscess does not recur or lead to further complications.
  • Regular monitoring if underlying conditions, such as diabetes, are contributing factors.

Complications

  • Spread of infection to surrounding tissue or bloodstream (sepsis)
  • Recurrent abscess formation
  • Potential scarring of the affected area

Lifestyle & Prevention

  • Maintaining good personal hygiene to prevent infection
  • Proper wound care and cleaning of any skin cuts or punctures
  • Managing chronic conditions such as diabetes to reduce infection risk

When to Seek Professional Help

  • Rapidly increasing size or persistent pain in a swollen area
  • Fever or systemic signs of infection
  • Failure of the abscess to improve with home treatment

Additional Resources

Tips for Medical Coders

  • Ensure clear documentation of the location (abdominal wall) of the abscess.
  • Avoid confusion with other abscess codes by confirming the correct anatomical site and abscess type.
  • Be attentive to any additional complications or underlying conditions that may require supplementary codes.

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