ICD-10: N83.7

The ICD-10-CM code N83.7 specifically refers to a hematoma of the broad ligament, which is a condition that can occur in the female reproductive system. Below is a detailed clinical description and relevant information regarding this diagnosis.

Clinical Description

Definition

A hematoma of the broad ligament is defined as a localized collection of blood within the broad ligament, which is a peritoneal fold that supports the uterus, fallopian tubes, and ovaries. This condition can arise due to trauma, surgical procedures, or complications from pregnancy.

Etiology

The primary causes of a hematoma in the broad ligament include:
- Trauma: Direct injury to the pelvic area can lead to bleeding within the broad ligament.
- Surgical Procedures: Gynecological surgeries, such as hysterectomy or ovarian cystectomy, may inadvertently damage blood vessels, resulting in hematoma formation.
- Pregnancy Complications: Conditions such as ectopic pregnancy or complications during labor can also lead to hematomas.

Symptoms

Patients with a hematoma of the broad ligament may present with:
- Pelvic Pain: This is often the most common symptom, which can vary in intensity.
- Abdominal Distension: Depending on the size of the hematoma, there may be noticeable swelling in the abdomen.
- Changes in Menstrual Cycle: Some women may experience alterations in their menstrual patterns.
- Signs of Shock: In severe cases, if the hematoma is large and causes significant blood loss, symptoms of shock may occur, including dizziness, weakness, and hypotension.

Diagnosis

Diagnosis typically involves:
- Clinical Examination: A thorough pelvic examination may reveal tenderness or a palpable mass.
- Imaging Studies: Ultrasound is commonly used to visualize the hematoma, while CT scans may provide more detailed information about its size and extent.

Treatment

Management of a hematoma of the broad ligament depends on the size and symptoms:
- Observation: Small hematomas that are asymptomatic may simply be monitored.
- Pain Management: Analgesics can be prescribed to alleviate discomfort.
- Surgical Intervention: In cases where the hematoma is large or symptomatic, surgical drainage may be necessary to relieve pressure and prevent complications.

Coding and Billing Considerations

The ICD-10-CM code N83.7 falls under the category of noninflammatory disorders of the ovary, fallopian tube, and broad ligament. Accurate coding is essential for proper billing and insurance reimbursement, particularly in the context of gynecological care. It is important for healthcare providers to document the clinical findings and treatment plans thoroughly to support the use of this code.

Conclusion

In summary, the ICD-10-CM code N83.7 for hematoma of the broad ligament represents a significant clinical condition that can arise from various etiologies, particularly trauma and surgical interventions. Understanding the symptoms, diagnostic methods, and treatment options is crucial for effective management and patient care. Proper coding and documentation are essential for ensuring appropriate healthcare delivery and reimbursement.

The ICD-10 code N83.7 refers to a hematoma of the broad ligament, which is a condition that can occur in the female reproductive system. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this condition is essential for accurate diagnosis and management.

Clinical Presentation

A hematoma of the broad ligament typically arises from bleeding within the broad ligament, which is a peritoneal fold that supports the uterus, ovaries, and fallopian tubes. This condition can occur due to various factors, including trauma, surgical procedures, or complications from pregnancy.

Signs and Symptoms

Patients with a hematoma of the broad ligament may present with a range of signs and symptoms, including:

• Pelvic Pain: This is often the most prominent symptom, which may be acute or chronic, depending on the cause of the hematoma. The pain can be localized to one side of the pelvis or may be more diffuse.
• Abdominal Distension: In cases where the hematoma is significant, patients may experience abdominal swelling or distension due to the accumulation of blood.
• Menstrual Irregularities: Some patients may report changes in their menstrual cycle, including heavier bleeding or irregular periods, particularly if the hematoma affects the ovaries.
• Fever: If the hematoma becomes infected, patients may develop fever and other systemic signs of infection.
• Nausea and Vomiting: These symptoms may occur, particularly if the hematoma is large and causing pressure on surrounding structures.

Patient Characteristics

Certain patient characteristics may predispose individuals to develop a hematoma of the broad ligament:

• Age: While hematomas can occur at any age, they are more commonly seen in women of reproductive age, particularly those who are pregnant or have recently given birth.
• Obstetric History: Women with a history of complicated pregnancies, such as those involving cesarean sections or other surgical interventions, may be at higher risk.
• Trauma: Patients who have experienced pelvic trauma, whether from accidents or surgical procedures, may also be more susceptible to developing this condition.
• Coagulation Disorders: Individuals with underlying bleeding disorders or those on anticoagulant therapy may be at increased risk for hematoma formation.

Conclusion

In summary, a hematoma of the broad ligament (ICD-10 code N83.7) presents with significant pelvic pain, abdominal distension, and potential menstrual irregularities. Patient characteristics such as age, obstetric history, trauma, and coagulation disorders can influence the likelihood of developing this condition. Accurate diagnosis often requires imaging studies, such as ultrasound or MRI, to assess the extent of the hematoma and guide appropriate management strategies. Understanding these clinical aspects is crucial for healthcare providers in delivering effective care to affected patients.

The ICD-10 code N83.7 specifically refers to a hematoma of the broad ligament, which is a noninflammatory disorder affecting the female genital tract. Understanding alternative names and related terms can be beneficial for medical professionals, coders, and researchers. Below are some relevant terms and alternative names associated with this condition.

Alternative Names for Hematoma of Broad Ligament

1. Broad Ligament Hematoma: This is a direct synonym for N83.7, emphasizing the location of the hematoma.
2. Hematoma of the Uterine Ligament: This term may be used interchangeably, as the broad ligament supports the uterus.
3. Pelvic Hematoma: While broader in scope, this term can sometimes encompass hematomas located in the pelvic region, including the broad ligament.

Related Terms and Concepts

1. Noninflammatory Disorders of the Female Genital Tract: N83.7 falls under this category, which includes various conditions affecting the female reproductive system without inflammation[3].
2. Hematoma: A general term for a localized collection of blood outside of blood vessels, which can occur in various anatomical locations, including the broad ligament.
3. Obstetric Complications: Hematomas can arise as complications during pregnancy or childbirth, making this term relevant in obstetric contexts.
4. Gynecological Disorders: As a condition affecting the female reproductive system, N83.7 is related to broader gynecological health issues.

Clinical Context

In clinical practice, understanding these terms is crucial for accurate diagnosis, coding, and treatment planning. Hematomas of the broad ligament may arise from trauma, surgical procedures, or complications during pregnancy, and recognizing the terminology can aid in effective communication among healthcare providers.

Conclusion

The ICD-10 code N83.7, or hematoma of the broad ligament, is associated with several alternative names and related terms that reflect its clinical significance and context. Familiarity with these terms can enhance understanding and facilitate better patient care in obstetrics and gynecology.

Hematoma of the broad ligament, classified under ICD-10 code N83.7, refers to a localized collection of blood within the broad ligament of the uterus, often resulting from trauma, surgical procedures, or other underlying conditions. The management of this condition can vary based on the size of the hematoma, the symptoms presented, and the overall health of the patient. Below, we explore standard treatment approaches for this diagnosis.

Initial Assessment and Diagnosis

Before treatment can begin, a thorough assessment is essential. This typically includes:

• Clinical Evaluation: A detailed medical history and physical examination to assess symptoms such as pelvic pain, swelling, or abnormal bleeding.
• Imaging Studies: Ultrasound is commonly used to visualize the hematoma and determine its size and impact on surrounding structures. In some cases, MRI may be utilized for a more detailed view.

Treatment Approaches

Conservative Management

For small hematomas that are asymptomatic or minimally symptomatic, conservative management is often the first line of treatment. This may include:

• Observation: Monitoring the hematoma over time, as many small hematomas resolve spontaneously without intervention.
• Pain Management: Nonsteroidal anti-inflammatory drugs (NSAIDs) may be prescribed to alleviate pain and discomfort associated with the condition.
• Activity Modification: Patients may be advised to limit physical activity to reduce strain on the pelvic area.

Surgical Intervention

In cases where the hematoma is large, symptomatic, or associated with complications such as infection or significant bleeding, surgical intervention may be necessary. Options include:

• Drainage: If the hematoma is large and causing significant symptoms, percutaneous drainage may be performed to relieve pressure and remove the accumulated blood.
• Surgical Exploration: In more severe cases, surgical intervention may be required to explore the area, evacuate the hematoma, and address any underlying issues, such as vascular injuries or other complications.

Follow-Up Care

Post-treatment follow-up is crucial to ensure proper healing and to monitor for any recurrence of symptoms. This may involve:

• Regular Check-Ups: Scheduled visits to assess recovery and any potential complications.
• Imaging Follow-Up: Repeat ultrasounds may be necessary to confirm resolution of the hematoma.

Conclusion

The management of hematoma of the broad ligament (ICD-10 code N83.7) typically begins with a careful assessment and may range from conservative observation to surgical intervention, depending on the severity of the condition. Early diagnosis and appropriate treatment are essential to prevent complications and ensure optimal recovery. If you suspect you have this condition, it is important to consult a healthcare professional for a tailored treatment plan.

The ICD-10-CM code N83.7 refers to a hematoma of the broad ligament, which is a condition that can occur in the female reproductive system. To diagnose this condition accurately, healthcare providers typically rely on a combination of clinical evaluation, imaging studies, and specific diagnostic criteria. Below are the key criteria and considerations used in the diagnosis of a hematoma of the broad ligament:

Clinical Presentation

1. Symptoms: Patients may present with symptoms such as:
   - Pelvic pain or discomfort
   - Abdominal pain
   - Possible signs of internal bleeding, such as hypotension or tachycardia in severe cases
   - Abnormal vaginal bleeding

2. Medical History: A thorough medical history is essential, including:
   - Recent surgical procedures (e.g., gynecological surgeries)
   - Trauma to the pelvic area
   - History of bleeding disorders or anticoagulant use

Physical Examination

1. Pelvic Examination: A physical examination may reveal:
   - Tenderness in the pelvic region
   - Palpable masses or swelling in the broad ligament area
   - Signs of peritoneal irritation, which may indicate complications

Imaging Studies

1. Ultrasound: A noninvasive pelvic ultrasound is often the first-line imaging modality. It can help identify:
   - The presence of a hematoma in the broad ligament
   - The size and extent of the hematoma
   - Any associated abnormalities in the ovaries or uterus

2. CT Scan: In cases where ultrasound findings are inconclusive or if there is a need for further evaluation, a CT scan of the abdomen and pelvis may be performed. This can provide:
   - Detailed images of the pelvic structures
   - Assessment of any potential complications, such as hemorrhage or organ injury

Differential Diagnosis

1. Exclusion of Other Conditions: It is crucial to differentiate a hematoma of the broad ligament from other conditions that may present similarly, such as:
   - Ovarian cysts or tumors
   - Ectopic pregnancy
   - Pelvic inflammatory disease
   - Other types of pelvic masses

Laboratory Tests

1. Blood Tests: Laboratory tests may be conducted to assess:
   - Hemoglobin levels to evaluate for anemia due to blood loss
   - Coagulation profile if a bleeding disorder is suspected

Conclusion

The diagnosis of a hematoma of the broad ligament (ICD-10 code N83.7) involves a comprehensive approach that includes clinical evaluation, imaging studies, and the exclusion of other potential conditions. Accurate diagnosis is essential for determining the appropriate management and treatment plan for the patient. If you have further questions or need more specific information, feel free to ask!