S37.402 Unspecified injury of ovary, bilateral

Name of the Condition

• Unspecified injury of ovary, bilateral

Summary

Unspecified injury of the ovary, bilateral, refers to damage to both ovaries without specifying the type or severity of the injury. This condition typically results from trauma and may involve bleeding, pain, or impaired ovarian function. The extent of the injury and associated symptoms depend on the nature of the trauma and whether other pelvic structures are involved.

Causes

Blunt or penetrating trauma to the abdomen or pelvis, such as from motor vehicle accidents, falls, or assaults. Surgical procedures involving pelvic organs, including gynecologic surgeries. Direct impact to the lower abdomen or pelvic region.

Risk Factors

• Participation in contact sports or activities with a high risk of abdominal or pelvic trauma.
• Pre-existing conditions that may weaken ovarian tissue, such as cysts or tumors.
• Advanced age, which may reduce tissue resilience.
• Certain occupations or lifestyles involving physical risk.

Symptoms

• Pain in the lower abdomen or pelvic region.
• Abdominal tenderness or swelling.
• Possible vaginal bleeding or discharge.
• Nausea, vomiting, or signs of shock in severe cases.

Diagnosis

Physical examination to assess tenderness, swelling, or external trauma. Imaging studies, including ultrasound, CT scan, or MRI, to visualize ovarian damage. Laboratory tests to evaluate blood counts, pregnancy status, or signs of internal bleeding.

Treatment Options

Management depends on the severity of the injury. Mild cases may involve observation and pain management. Severe cases may require surgical intervention to control bleeding or repair damaged tissue. Supportive care, such as intravenous fluids or blood transfusions, may be necessary for significant blood loss.

Prognosis and Follow-Up

Prognosis varies based on the extent of injury and response to treatment. Mild injuries often resolve with conservative care, while severe trauma may lead to long-term complications. Follow-up care may include monitoring for infection, assessing ovarian function, or addressing chronic pain.

Complications

Potential complications include infection, chronic pelvic pain, infertility, or ovarian dysfunction. Severe trauma may result in hemorrhage, requiring urgent intervention. Long-term effects depend on the extent of tissue damage and associated injuries.

Lifestyle & Prevention

Avoid high-risk activities without proper protection. Use seat belts during travel to reduce abdominal trauma risk. Seek prompt medical care for pelvic or abdominal injuries to prevent complications. Maintain regular gynecologic check-ups to address pre-existing conditions.

When to Seek Professional Help

Seek immediate medical attention for severe abdominal pain, uncontrolled bleeding, dizziness, or signs of shock. Persistent pain, fever, or unusual discharge after an injury also warrants evaluation.

Tips for Medical Coders

Document the bilateral nature of the injury and any associated trauma or procedures. Specify if the injury is acute or related to a recent event. Include details on imaging or diagnostic findings to support the diagnosis. Ensure documentation aligns with the unspecified nature of the injury, avoiding assumptions about severity or type.