Icd-10 supports all types of hernias – aapc knowledge center sintomas de escoliosis lumbar

Hernias occur when the contents of a body cavity bulge out of the area where they are normally contained. These contents, usually portions of intestine or abdominal fatty tissue, are enclosed in the thin membrane that naturally lines the inside of the cavity. Hernias may not produce symptoms, or they may cause slight to severe pain. Nearly all have the potential of becoming strangulated.

Strangulation occurs when the contents of the hernia bulge out and apply enough pressure that blood vessels in the hernia are constricted, cutting off blood supply. If the blood supply is cut off at the hernia opening in the abdominal wall, it becomes a medical and surgical emergency.

Femoral hernias are normally confined to a tight space, and sometimes they become large enough to allow abdominal contents (usually intestine) to protrude into the canal. They cause a bulge just below the inguinal crease in roughly the mid-thigh area, and usually occur in women.

A 78-year-old woman presented with a two day history of a painful mass in her right groin. Abdominal examination disclosed mild tenderness in the right lower quadrant. A 6 cm right inguinal mass was palpated that was non-reducible and exquisitely tender to palpation. At laparotomy, a large, edematous, inflamed femoral mass, medial to the femoral vein, was identified. The anterior surface was opened, and purulent fluid was drained. The femoral hernia was repaired by suturing the iliopubic tract to Cooper’s ligament.

Tim noticed a bulge in his abdominal wall following abdominal surgery this past year. He indicates the bulge appears to expand under increased abdominal pressure, such as when he coughs or lifts a heavy object. The physician diagnoses him with an incisional hernia.

Spigelian hernias are rare and occur along the edge of the rectus abdominus muscle through the spigelian fascia. In ICD-10-CM, spiglian hernias are coded to K43.6 Other and unspecified ventral hernia with obstruction, without gangrene or K43.7 Other and unspecified ventral hernia with gangrene, depending on whether gangrene is present.

Obturator hernia is an extremely rare abdominal hernia, which develops mostly in women. This type of hernia protrudes from the pelvic cavity through an opening in the pelvic bone. Due to the lack of visible bulging, this hernia is very difficult to diagnose.

Epigastric hernia occurs between the navel and the lower part of the rib cage in the midline of the abdomen. It’s composed usually of fatty tissue and rarely contains intestine. In ICD-10-CM, epigastric hernias are coded to K43.6, K43.7 , or K43.9 Ventral hernia without obstruction or gangrene, depending on the presence of obstruction or gangrene.

A 17-year-old female presents with congenital diaphragmatic hernia. She originally presented with vague abdominal pain and was thought to have urinary tract infection, ruptured ovarian cyst, and appendicitis by different medical teams in the first few days. Recently, she underwent a diagnostic laparoscopy with no significant findings. In the early postoperative recovery period, she suffered from severe cardiorespiratory distress and a large intestinal left diaphragmatic hernia was diagnosed subsequently. Today, during surgery, a strangulated loop of large bowel herniating through a left antero-lateral congenital diaphragmatic hernia was discovered, which was reduced and repaired with a Prolene mesh through thoracotomy.