S37.492 Other injury of ovary, bilateral

Name of the Condition

• Other injury of ovary, bilateral

Summary

Other injury of ovary, bilateral refers to damage to both ovaries that does not fall into more specific categories, such as contusion or laceration. This condition typically results from trauma and may involve varying degrees of tissue disruption, bleeding, or functional impairment. The severity and clinical presentation depend on the nature of the trauma 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 pelvic region.

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.
• 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 evaluate ovarian integrity and detect internal bleeding or damage. Laboratory tests to check for signs of internal injury or infection.

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 repair tissue, control bleeding, or remove damaged tissue. Supportive care, such as hydration and monitoring, is often necessary.

Prognosis and Follow-Up

Prognosis varies based on the extent of injury and promptness of treatment. Most patients recover with appropriate care, but bilateral injury may increase the risk of long-term complications like infertility or hormonal imbalance. Follow-up care may include monitoring for complications and assessing ovarian function.

Complications

• Infertility due to ovarian damage.
• Hormonal imbalances affecting menstrual cycles or menopause.
• Chronic pelvic pain.
• Infection or abscess formation.
• Adhesions or scarring in the pelvic region.

Lifestyle & Prevention

• Use protective gear during high-risk activities.
• Avoid unnecessary pelvic trauma.
• Maintain regular gynecologic check-ups to address pre-existing conditions.
• Follow safety guidelines in occupations with physical risk.

When to Seek Professional Help

Seek immediate medical attention for severe pelvic pain, heavy vaginal bleeding, signs of shock (e.g., dizziness, rapid heartbeat), or after significant trauma to the abdomen or pelvis.

Tips for Medical Coders

Document the bilateral nature of the injury and any associated trauma or surgical procedures. Ensure the injury is not classified under a more specific code (e.g., contusion or laceration). Include details about the encounter type (e.g., initial, subsequent) if applicable. Verify that the injury is not related to a pre-existing condition to avoid miscoding.