S37.422 Contusion of ovary, bilateral

Name of the Condition

• Contusion of ovary, bilateral

Summary

Contusion of the ovary, bilateral, refers to bruising or minor tissue damage affecting both ovaries, typically resulting from blunt trauma. This condition may involve localized pain, swelling, or minor bleeding, with the severity depending on the force of impact and whether associated pelvic structures are affected. Clinical presentation can range from mild discomfort to more significant symptoms if the injury disrupts ovarian function or causes internal bleeding.

Causes

Blunt trauma to the abdomen or pelvis, such as from motor vehicle accidents, falls, or direct impact to the lower abdomen. Surgical procedures involving pelvic organs, including gynecologic surgeries, may also cause bilateral ovarian contusion. Penetrating injuries, though less common, can lead to this condition if both ovaries are directly affected.

Risk Factors

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

Symptoms

• Pelvic or lower abdominal pain, often generalized or bilateral.
• Tenderness or swelling in the pelvic region.
• Possible vaginal bleeding or spotting.
• Nausea or vomiting in some cases.
• Signs of shock in severe cases.

Diagnosis

Physical examination to assess tenderness, swelling, or external trauma. Imaging studies, such as ultrasound, CT scan, or MRI, to visualize ovarian damage. Laboratory tests to evaluate for internal bleeding or organ dysfunction.

Treatment Options

Conservative management with rest, pain relief, and monitoring for complications. Surgical intervention may be required if significant bleeding, organ damage, or other complications arise.

Prognosis and Follow-Up

Most cases resolve with conservative care, but follow-up is necessary to monitor for delayed complications like infection or functional impairment. Recovery depends on the severity of the injury and any associated pelvic trauma.

Complications

Potential for ovarian cyst formation, chronic pain, or reduced fertility. Severe cases may lead to hemorrhage or infection requiring additional treatment.

Lifestyle & Prevention

Avoid high-risk activities without proper protection. Use seatbelts and protective gear during sports or physical work. Seek prompt medical evaluation after abdominal trauma.

When to Seek Professional Help

If experiencing severe pain, heavy vaginal bleeding, dizziness, or signs of shock. Immediate care is needed for suspected internal bleeding or organ damage.

Tips for Medical Coders

Document the bilateral nature of the contusion and any associated trauma or procedures. Ensure clinical notes support the diagnosis and specify whether the injury is acute or related to a recent event.