S37.439 Laceration of ovary, unspecified

Name of the Condition

• Laceration of ovary, unspecified

Summary

Laceration of the ovary, unspecified, refers to a tear or cut in ovarian tissue without specifying laterality or extent. This condition typically results from trauma and may involve bleeding, pain, or impaired ovarian function. The severity and treatment depend on the extent of the laceration and whether associated structures are affected.

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 flank.

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 localized to the affected side.
• Vaginal bleeding or spotting.
• Nausea or vomiting.
• Tenderness or swelling in the pelvic region.
• 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 blood loss or organ function.

Treatment Options

Conservative management for mild cases, including pain relief and monitoring. Surgical intervention for severe lacerations, such as repair or removal of damaged tissue. Blood transfusion if significant hemorrhage occurs.

Prognosis and Follow-Up

Prognosis depends on the severity of the laceration and promptness of treatment. Most patients recover with appropriate care, but fertility or hormonal function may be affected in severe cases. Follow-up imaging or exams may be recommended to assess healing.

Complications

Hemorrhage or internal bleeding. Infection at the site of injury. Impaired ovarian function or infertility. Chronic pelvic pain.

Lifestyle & Prevention

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

When to Seek Professional Help

Severe abdominal or pelvic pain. Heavy vaginal bleeding. Signs of shock, such as dizziness or fainting. Persistent symptoms after minor trauma.

Tips for Medical Coders

Code S37.439 is used when the laceration of the ovary is unspecified. Documentation should clarify the absence of laterality or extent details. Ensure trauma or injury context is supported by clinical notes to justify the code.