Splenic infarction is the death of tissue (necrosis) in the spleen due to a blockage in blood flow.
Major laceration of spleen, initial encounter S36. 032A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S36. 032A became effective on October 1, 2021.
Splenic infarction occurs when blood flow to the spleen is compromised causing tissue ischemia and eventual necrosis. Splenic infarction may be the result of arterial or venous occlusion. Occlusion is usually caused by bland or septic emboli as well as venous congestion by abnormal cells.
Splenic infarcts are rare cases. It may not be noticed in the emergency department because the clinical picture is likely to mimic various acute abdominal pains. The splenic infarct is often the result of systemic thromboembolism associated with cardiovascular disorders.
The classic splenic infarction presents with acute pain and tenderness in the left upper quadrant or flank area.
442.83 - Aneurysm of splenic artery is a topic covered in the ICD-10-CM.
Approximately one third of splenic infarcts are clinically occult. The most common presenting symptom is left-upper-quadrant abdominal pain (up to 70%). Additional symptoms include fever and chills, nausea and vomiting, pleuritic chest pain, and left shoulder pain (Kehr sign).
Splenic infarction can also result from a sickle cell crisis in patients with sickle cell anemia. Both splenomegaly and a tendency towards clot formation feature in this condition. In sickle cell disease, repeated splenic infarctions lead to a non-functional spleen (autosplenectomy).
Infarction is tissue death or necrosis due to inadequate blood supply to the affected area. It may be caused by artery blockage, rupture, mechanical compression, or vasoconstriction. Infarction care is divided based on histopathology (white infarction and red infarction) and location (heart, brain, lung, etc.).
Introduction: Multiple studies suggest that SARS-CoV-2 infection is associated with a pro-thrombotic state and thrombotic events have been recorded in several organs and systems. We report a patient with no respiratory symptoms, presented with abdominal pain and an extensive splenic infarction after COVID-19.
Patients with splenic infarction may require anticoagulation, depending upon their underlying etiology. When starting anticoagulation in patients with splenic infarction secondary to arterial or venous thrombosis, most sources recommend enoxaparin (LMWH) bridge to warfarin with an INR goal of 2.0-3.0.
In patients with the underlying hematologic disease or autoimmune disease, consultation with hematology, oncology or rheumatology may be indicated. Abdominal pain due to uncomplicated cases of splenic infarction resolve without intervention in 7-14 days 10).
A ruptured spleen (a fist-sized organ located in the left upper abdomen) occurs when the surface of this organ is injured, which can lead to internal bleeding. Symptoms include pain in the abdomen and nausea. A ruptured spleen is treated with surgery if the patient has lost a large amount of blood.
Signs and symptoms of a ruptured spleen include:Pain in the upper left abdomen.Tenderness when you touch the upper left abdomen.Left shoulder pain.Confusion, lightheadedness or dizziness.
Grade 3 is hematoma of more than 50% of the subcapsular surface area or if the hematoma is known to be expanding over time, if the hematoma has ruptured, intraparenchymal hematoma either more than 5 cm or known to be expanding, or capsule laceration more than 3 cm in depth and/or involving a trabecular blood vessel.
ICD-10 code K66. 1 for Hemoperitoneum is a medical classification as listed by WHO under the range - Diseases of the digestive system .
D50-D89 Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
human immunodeficiency virus [HIV] disease ( B20) injury, poisoning and certain other consequences of external causes ( S00-T88) neoplasms ( C00-D49) symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified ( R00 - R94) Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism.
The 2022 edition of ICD-10-CM D73.89 became effective on October 1, 2021.