T18.3XXA Foreign body in small intestine, initial encounter
ICD10CM code
ICD10CM
Name of the Condition
Foreign body in small intestine, initial encounter
ICD-10 Code: T18.3XXA
Summary
A foreign body in the small intestine refers to an object that has been ingested and lodged within the small intestine. This can be a common occurrence in children but can also happen in adults.
Causes
Ingesting non-food items such as coins, toys, or other small objects.
Accidental ingestion of larger food particles or items not meant for consumption.
Risk Factors
Children: Natural curiosity and tendency to put objects in their mouth.
Adults with mental health disorders, cognitive impairment, or intoxication.
Wearing dental appliances, such as partial dentures, which can trigger accidental ingestion.
Symptoms
Abdominal pain or discomfort.
Nausea and vomiting.
Difficulty swallowing.
Gastrointestinal blockage signs, like inability to pass gas or stool.
Diagnosis
Imaging Tests: X-ray, CT scan, or MRI to identify the object's location and nature.
Endoscopy: Sometimes used for both diagnostic and treatment purposes.
Treatment Options
Observation: In some cases, the object may pass naturally through the intestines.
Endoscopic Removal: Non-surgically retrieving the object using specialized tools.
Surgery: In cases of obstruction, perforation, or unsuccessful endoscopic retrieval.
Prognosis and Follow-Up
Most cases resolve without long-term consequences if the object is removed timely.
Regular follow-ups are necessary to ensure no damage has occurred to the intestinal tract post-removal.
Complications
Intestinal perforation, blockage or infection.
Potential damage to the intestinal wall, leading to more severe medical conditions.
Lifestyle & Prevention
Keep small objects out of children's reach.
Regularly check dentures or dental appliances to ensure they're secure.
Educate individuals at risk about hazards of foreign body ingestion.
When to Seek Professional Help
Severe abdominal pain or persistent vomiting.
Absence of bowel movements or passing gas for an extended period.
Blood in vomit or stool.
Additional Resources
American Gastroenterological Association (AGA): www.gastro.org