DOCSLIB.ORG

Test Code Test Name CPT

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Test Code Test Name CPT LIVER PROFILE HEPATIC FUNCTION PANEL Test Code Test Name CPT LIVER Hepatic Function Panel 80076 LIVER Liver Profile 80076 HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 1 of 32 Narrative Description ICD9 Abdominal area, including retroperitoneum; nonspecific abnormal findings on 793.6 radiological and other examination of body structure Abdominal or pelvic swelling, mass or lump; Epigastric 789.36 Abdominal or pelvic swelling, mass or lump; Generalized 789.37 Abdominal or pelvic swelling, mass or lump; left lower quadrant 789.34 Abdominal or pelvic swelling, mass or lump; left upper quadrant 789.32 Abdominal or pelvic swelling, mass or lump; Other specified site 789.39 Abdominal or pelvic swelling, mass or lump; Periumbilic 789.35 Abdominal or pelvic swelling, mass or lump; right lower quadrant 789.33 Abdominal or pelvic swelling, mass or lump; right upper quadrant 789.31 Abdominal or pelvic swelling, mass or lump; unspecified site 789.30 Abdominal pain; Epigastric 789.06 Abdominal pain; Generalized 789.07 Abdominal pain; left lower quadrant 789.04 Abdominal pain; left upper quadrant 789.02 Abdominal pain; Other specified site 789.09 Abdominal pain; Periumbilic 789.05 Abdominal pain; right lower quadrant 789.03 Abdominal pain; right upper quadrant 789.01 Abdominal pain; unspecified site 789.00 Abdominal rigidity; Epigastric 789.46 Abdominal rigidity; Generalized 789.47 Abdominal rigidity; left lower quadrant 789.44 Abdominal rigidity; left upper quadrant 789.42 Abdominal rigidity; Other specified site 789.49 Abdominal rigidity; Periumbilic 789.45 Abdominal rigidity; right lower quadrant 789.43 Abdominal rigidity; right upper quadrant 789.41 Abdominal rigidity; unspecified site 789.40 HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 2 of 32 Abdominal tenderness; Epigastric 789.66 Abdominal tenderness; Generalized 789.67 Abdominal tenderness; left lower quadrant 789.64 Abdominal tenderness; left upper quadrant 789.62 Abdominal tenderness; Other specified site 789.69 Abdominal tenderness; Periumbilic 789.65 Abdominal tenderness; right lower quadrant 789.63 Abdominal tenderness; right upper quadrant 789.61 Abdominal tenderness; unspecified site 789.60 Abnormal involuntary movements 781.0 Abnormal serum enzyme levels, other nonspecific 790.5 Abnormality of gait 781.2 Acquired coagulation factor deficiency 286.7 Actinomycotic infections; Abdominal 039.2 Alcohol amnestic syndrome 291.1 Alcohol dementia; other 291.2 Alcohol dependence, other and unspecified; continuous 303.91 Alcohol dependence, other and unspecified; episodic 303.92 Alcohol induced sleep disorders 291.82 Alcohol withdrawal delirium 291.0 Alcohol withdrawal hallucinosis 291.3 Alcohol, excessive blood level of 790.3 Alcoholic induced psychotic disorder with delusions 291.5 Alcoholic cirrhosis of liver 571.2 Alcoholic fatty liver 571.0 Alcoholic hepatitis, Acute 571.1 Alcoholic induced mental disorders 291.89 Alcoholic intoxication, Acute; continuous 303.01 Alcoholic intoxication, Acute; episodic 303.02 Alcoholic intoxication, Acute; unspecified 303.00 HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 3 of 32 Alcoholic liver damage, unspecified 571.3 Alcoholic polyneuropathy 357.5 Alcoholic psychosis, other specified; Alcohol withdrawal 291.81 Alcoholic psychosis, unspecified 291.9 Alpha-1 antitrypsin deficiency 273.4 Amebiasis, unspecified 006.9 Amebic brain abscess 006.5 Amebic dysentery without mention of abscess, Acute 006.0 Amebic infection of other sites 006.8 Amebic liver abscess 006.3 Amebic lung abscess 006.4 Amebic nondysenteric colitis 006.2 Amebic skin ulceration 006.6 Amino-acid metabolism, unspecified disorder of 270.9 Amyloidosis, unspecified 277.30 Anaphylactic shock due to adverse food reaction; Due to crustaceans 995.62 Anaphylactic shock due to adverse food reaction; Due to eggs 995.68 Anaphylactic shock due to adverse food reaction; Due to fish 995.65 Anaphylactic shock due to adverse food reaction; Due to food additives 995.66 Anaphylactic shock due to adverse food reaction; Due to fruits and vegetables 995.63 Anaphylactic shock due to adverse food reaction; Due to milk products 995.67 Anaphylactic shock due to adverse food reaction; Due to other specified food 995.69 Anaphylactic shock due to adverse food reaction; Due to peanuts 995.61 Anaphylactic shock due to adverse food reaction; Due to tree nuts and seeds 995.64 Anaphylactic shock due to adverse food reaction; Due to unspecified food 995.60 Anomalies of gallbladder, bile ducts, and liver; Other 751.69 Anomaly of gallbladder, bile ducts, and liver; Unspecified 751.60 Anorexia 783.0 Anthrax septicemia 022.3 Aphasia 784.3 HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 4 of 32 Appendicitis, Acute; with generalized peritonitis 540.0 Appendicitis, Acute; with peritoneal abscess 540.1 Appendicitis, Acute; without mention of peritonitis 540.9 Aromatic amino-acid metabolism, other disturbances of 270.2 Ascites 789.5 Autoimmune disease, not elsewhere classified 279.4 Bacteremia 790.7 Bile duct, Fistula of 576.4 Bile duct, Obstruction of 576.2 Bile duct, Perforation of 576.3 Biliary atresia 751.61 Biliary cirrhosis 571.6 Biliary tract, Other specified disorders of 576.8 Biliary tract, Unspecified disorder of 576.9 Biliary tract; nonspecific abnormal findings on radiological and other examination 793.3 of body structure Bilirubin excretion, disorders of 277.4 Biliuria 791.4 Blood chemistry, other abnormal 790.6 Blood vessels of abdomen and pelvis, injury to; Abdominal Aorta 902.0 Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.20 Celiac and mesenteric arteries, unspecified Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.21 Gastric artery Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.22 Hepatic artery Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.23 Splenic artery Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.24 Other specified branches of celiac axis Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.25 Superior mesenteric artery (trunk) Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.26 Primary branches of superior mesenteric artery Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.27 Inferior mesenteric artery Blood vessels of abdomen and pelvis, injury to; Celiac and mesenteric arteries, 902.29 Other Blood vessels of abdomen and pelvis, injury to; Inferior vena cava, Inferior vena 902.10 cava, unspecified HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 5 of 32 Blood vessels of abdomen and pelvis, injury to; Inferior vena cava, Hepatic veins 902.11 Blood vessels of abdomen and pelvis, injury to; Inferior vena cava, Other 902.19 Blood vessels of abdomen and pelvis, injury to; Other specified blood vessels of 902.87 abdomen and pelvis, Multiple blood vessels of abdomen and pelvis Blood vessels of abdomen and pelvis, injury to; Other specified blood vessels of 902.89 abdomen and pelvis, Other Blood vessels of abdomen and pelvis, injury to; Portal and splenic veins, Superior 902.31 mesenteric vein and primary subdivisions Blood vessels of abdomen and pelvis, injury to; Portal and splenic veins, Inferior 902.32 mesneteric vein Blood vessels of abdomen and pelvis, injury to; Portal and splenic veins, Portal vein 902.33 Blood vessels of abdomen and pelvis, injury to; Portal and splenic veins, Splenic 902.34 vein Blood vessels of abdomen and pelvis, injury to; Portal and splenic veins, Other 902.39 Blood vessels of abdomen and pelvis, injury to; Unspecified blood vessel of 902.9 abdomen and pelvis Bronchus, injury to, with open wound into cavity 862.31 Bronchus, injury to, without mention of open wound into cavity 862.21 Bubonic; Plague 020.0 Budd-Chiari syndrome 453.0 Cachexia 799.4 Calculus of bile duct with acute cholecystitis; with obstruction 574.31 Calculus of bile duct with acute cholecystitis; without mention of obstruction 574.30 Calculus of bile duct with other cholecystitis; with obstruction 574.41 Calculus of bile duct with other cholecystitis; without mention of obstruction 574.40 Calculus of bile duct without mention of cholecystitis; with obstruction 574.51 Calculus of bile duct without mention of cholecystitis; without mention of 574.50 obstruction Calculus of Gallbladder and bile duct with acute and chronic cholecystitis; without 574.80 mention of obstruction Calculus of Gallbladder and bile duct with acute and chronic cholecystitis; with 574.81 obstruction Calculus of Gallbladder and bile duct with acute cholecystitis; without mention of 574.60 obstruction Calculus of Gallbladder and bile duct with acute cholecystitis; with obstruction 574.61 Calculus of Gallbladder and bile duct with other cholecystitis; without mention of 574.70 obstruction Calculus of Gallbladder and bile duct with other cholecystitis; with obstruction 574.71 Calculus of Gallbladder and bile duct without cholecystitis; without mention of 574.90 obstruction HEPATIC FUNCTION PANEL ICD9 CODES THAT SUPPORT MEDICAL NECESSITY [MEDICARE POLICY #98RI-7-1] Page 6 of 32 Calculus of Gallbladder and bile duct without cholecystitis; with obstruction 574.91 Calculus of Gallbladder with acute cholecystitis;
Load more

Recommended publications
  • ICD-9 Diagnosis Codes Effective 10/1/2011 (V29.0) Source: Centers for Medicare and Medicaid Services
    ICD-9 Diagnosis Codes effective 10/1/2011 (v29.0) Source: Centers for Medicare and Medicaid Services 0010 Cholera d/t vib cholerae 00801 Int inf e coli entrpath 01086 Prim prg TB NEC-oth test 0011 Cholera d/t vib el tor 00802 Int inf e coli entrtoxgn 01090 Primary TB NOS-unspec 0019 Cholera NOS 00803 Int inf e coli entrnvsv 01091 Primary TB NOS-no exam 0020 Typhoid fever 00804 Int inf e coli entrhmrg 01092 Primary TB NOS-exam unkn 0021 Paratyphoid fever a 00809 Int inf e coli spcf NEC 01093 Primary TB NOS-micro dx 0022 Paratyphoid fever b 0081 Arizona enteritis 01094 Primary TB NOS-cult dx 0023 Paratyphoid fever c 0082 Aerobacter enteritis 01095 Primary TB NOS-histo dx 0029 Paratyphoid fever NOS 0083 Proteus enteritis 01096 Primary TB NOS-oth test 0030 Salmonella enteritis 00841 Staphylococc enteritis 01100 TB lung infiltr-unspec 0031 Salmonella septicemia 00842 Pseudomonas enteritis 01101 TB lung infiltr-no exam 00320 Local salmonella inf NOS 00843 Int infec campylobacter 01102 TB lung infiltr-exm unkn 00321 Salmonella meningitis 00844 Int inf yrsnia entrcltca 01103 TB lung infiltr-micro dx 00322 Salmonella pneumonia 00845 Int inf clstrdium dfcile 01104 TB lung infiltr-cult dx 00323 Salmonella arthritis 00846 Intes infec oth anerobes 01105 TB lung infiltr-histo dx 00324 Salmonella osteomyelitis 00847 Int inf oth grm neg bctr 01106 TB lung infiltr-oth test 00329 Local salmonella inf NEC 00849 Bacterial enteritis NEC 01110 TB lung nodular-unspec 0038 Salmonella infection NEC 0085 Bacterial enteritis NOS 01111 TB lung nodular-no exam 0039
    [Show full text]
  • A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle
    Hindawi Publishing Corporation Case Reports in Surgery Volume 2014, Article ID 128506, 5 pages http://dx.doi.org/10.1155/2014/128506 Case Report A Rare Case of Perforated Descending Colon Cancer Complicated with a Fistula and Abscess of Left Iliopsoas and Ipsilateral Obturator Muscle Alban Cacurri,1 Gaspare Cannata,1 Stefano Trastulli,2 Jacopo Desiderio,2 Antongiulio Mangia,1 Olga Adamenko,2 Eleonora Pressi,2 Giorgio Giovannelli,2 Giuseppe Noya,1 and Amilcare Parisi2 1 Department of General and Oncologic Surgery, University of Perugia, 06157 Perugia, Italy 2 Department of Digestive and Liver Surgery Unit, St. Maria Hospital, 05100 Terni, Italy Correspondence should be addressed to Gaspare Cannata; [email protected] Received 20 November 2013; Accepted 9 February 2014; Published 16 March 2014 Academic Editors: F. Catena and A. Cho Copyright © 2014 Alban Cacurri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Perforation of descending colon cancer combined with iliopsoasabscessandfistulaformationisarareconditionandhasbeen reported few times. A 67-year-old man came to our first aid for an acute pain in the left iliac fossa, in the flank, and in the ipsilateral thigh. Ultrasonography and computed tomography revealed a left abdominal wall, retroperitoneal, and iliopsoas abscess that also involved the ipsilateral obturator muscle. It proceeded with an exploratory laparotomy that showed a tumor of the descending colon adhered and perforated in the retroperitoneum with abscess of the iliopsoas muscle on the left-hand side, with presence of a fistula and liver metastases.
    [Show full text]
  • Pelvic Primary Staphylococcal Infection Presenting As a Thigh Abscess
    Hindawi Publishing Corporation Case Reports in Surgery Volume 2013, Article ID 539737, 4 pages http://dx.doi.org/10.1155/2013/539737 Case Report Pelvic Primary Staphylococcal Infection Presenting as a Thigh Abscess T. O. Abbas General Surgery Department, Hamad General Hospital, Doha 3050, Qatar Correspondence should be addressed to T. O. Abbas; [email protected] Received 20 February 2013; Accepted 18 March 2013 Academic Editors: K. Honma, G. Rallis, and M. Zafrakas Copyright © 2013 T. O. Abbas. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Intra-abdominal disease can present as an extra-abdominal abscess and can follow several routes, including the greater sciatic foramen, obturator foramen, femoral canal, pelvic outlet, and inguinal canal. Nerves and vessels can also serve as a route out of the abdomen. The psoas muscle extends from the twelfth thoracic and fifth lower lumbar vertebrae to the lesser trochanter of thefemur, which means that disease in this muscle group can migrate along the muscle, out of the abdomen, and present as a thigh abscess. We present a case of a primary pelvic staphylococcal infection presenting as a thigh abscess. The patient was a 60-year-old man who presented with left posterior thigh pain and fever. Physical examination revealed a diffusely swollen left thigh with overlying erythematous, shiny, and tense skin. X-rays revealed no significant soft tissue lesions, ultrasound was suggestive of an inflammatory process, and MRI showed inflammatory changes along the left hemipelvis and thigh involving the iliacus muscle group, left gluteal region, and obturator internus muscle.
    [Show full text]
  • Pediatric Review
    CLINICAL REVIEW Application Type 21-227 Submission Number S-021 Submission Code SE-5 Letter Date January 31, 2008 Stamp Date January 31, 2008 PDUFA Goal Date July 31, 2008 Reviewer Name(s) Yuliya Yasinskaya, M.D. (risk/benefit, efficacy, labeling) Julie-Ann Crewalk, M.D. (clinical trial safety) Eileen Navarro, M.D. (postmarketing safety) Review Completion Date July 10, 2008 Established Name Caspofungin acetate (Proposed) Trade Name Cancidas® Therapeutic Class Enchinocandin antifungal Applicant Merck Priority Designation P Formulation lyophilized powder for infusion Dosing Regimen 50, 70mg/m2 Indications ◦ Empiric therapy of fungal infections in febrile neutropenic patients, ◦ Treatment of candidemia and the following Candida infections: intra- abdominal abscesses, peritonitis, and pleural space infections, ◦ Treatment of esophageal candidiasis, ◦ Treatment of refractory invasive aspergillosis Intended Population Children 3 months to 17 years 1 Clinical Review Yuliya Yasinskaya, M.D., Julie-Ann Crewalk, M.D,, and Eileen Navarro, M.D. NDA 21-227, S-021 Cancidas® (caspofungin acetate) Table of Contents 1 RECOMMENDATIONS/RISK BENEFIT ASSESSMENT 6 1 RECOMMENDATIONS/RISK BENEFIT ASSESSMENT 6 1.1 Recommendation on Regulatory Action.....................................................................................................6 1.1.1 Confirmation of efficacy 6 1.1.2 Confirmation of safety 9 1.2 Risk Benefit Assessment ..........................................................................................................................10
    [Show full text]
  • A Case Report on Delayed Diagnosis of Perforated Crohns Disease With
    CASE REPORT – OPEN ACCESS International Journal of Surgery Case Reports 65 (2019) 325–328 Contents lists available at ScienceDirect International Journal of Surgery Case Reports journa l homepage: www.casereports.com A case report on delayed diagnosis of perforated Crohn’s disease with recurrent intra-psoas abscess requiring omental patch ∗ David Gao, Melissa G. Medina, Ehab Alameer, Jonathan Nitz , Steven Tsoraides Department of Surgery, University of Illinois College of Medicine Peoria, 624 NE Glen Oak, Peoria, IL 61603, United States a r t a b i c s t l r e i n f o a c t Article history: INTRODUCTION: Intra-abdominal abscesses associated with Crohn’s disease (CD) can rarely occur in the Received 26 October 2019 psoas muscle. An intra-psoas abscess is prone to misdiagnosis because its location mimics other diseases, Accepted 7 November 2019 like appendicitis and diverticulitis [1]. Available online 19 November 2019 PRESENTATION OF CASE: We present the case of a 25-year-old female with an 11-year history of CD, previously well-controlled on Remicade, who presented with right lower quadrant (RLQ) pain and CT find- Keywords: ings of a right psoas abscess initially attributed to perforated appendicitis. Two percutaneous drainages Perforating Crohn’s disease pre-ileocecectomy, laparoscopic ileocecectomy, three percutaneous drainages post-ileocolectomy, and Psoas abscess evidence of a recurrent abscess prompted diagnostic laparoscopy. The abscess was unroofed and Omental packing debrided. A flap of omentum was used to fill the abscess cavity. A comprehensive literature search was Case report performed using the terms ‘Crohn’s abscess’, ‘intra-psoas abscess’, and ‘omental patches’ in Medline and on PubMed.
    [Show full text]
  • JMSCR Vol||06||Issue||12||Page 746-748||December 2018
    JMSCR Vol||06||Issue||12||Page 746-748||December 2018 www.jmscr.igmpublication.org Impact Factor (SJIF): 6.379 Index Copernicus Value: 79.54 ISSN (e)-2347-176x ISSN (p) 2455-0450 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.121 Small Bowel Obstruction Secondary to Femoral Hernia: Case Report and Review of the Literature Authors Dr Dharmendra Kumar1*, Dr Mohan Kumar K2, Dr Prakash M3, Dr Spurthi4 Department of General Surgery, Sri Devaraj URS Medical College, Kolar, Karnataka, India Abstract Femoral hernias account for 3% of groin hernias, and are more common in women, and are more appropriate to present with strangulation and require emergency surgery. Approximately 50% of men with a femoral hernia will have an associated inguinal hernia whereas this relationship occurs in only 2% of women. In this article we report a case of strangulated femoral hernia that presented with features of small bowel obstruction and underwent emergency laprotomy and resection and end to end anastomosis and hernia repair. Postoperative course was uneventful and the patient was doing well. Strangulated femoral hernia of small bowel is rare. Keywords: Femoral Hernia, Small Bowel Obstruction, Strangulation. Introduction size of the femoral canal and the risk of hernia. In A femoral hernia is an extension of a viscous in old age the femoral defect increases and femoral the course of the femoral canal and exit via the hernia is commonly seen in low weight elderly saphenous opening due to a defect in the femoral females [3}. ring. It is the third commonest hernia and twenty The acquired theory is widely accepted with a percent happening in women versus 5% in men.
    [Show full text]
  • Sterile Seroma After Drainage of Purulent Muscle Abscess in Crohn's
    Hindawi Publishing Corporation Case Reports in Gastrointestinal Medicine Volume 2016, Article ID 1516364, 3 pages http://dx.doi.org/10.1155/2016/1516364 Case Report Sterile Seroma after Drainage of Purulent Muscle Abscess in Crohn’s Disease: Two Cases Natasha Shah, Lara Dakhoul, Adam Treitman, Muhammed Tabriz, and Charles Berkelhammer UniversityofIllinois,OakLawn,IL60453,USA Correspondence should be addressed to Charles Berkelhammer; [email protected] Received 20 March 2016; Accepted 27 June 2016 Academic Editor: Stephanie Van Biervliet Copyright © 2016 Natasha Shah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Purulent skeletal muscle abscesses can occur in Crohn’s disease. We report a case of a sterile seroma complicating percutaneous drainage of a purulent skeletal muscle abscess in Crohn’s ileitis. We compare and contrast this case with a similar case we published earlier. We emphasize the importance of recognition and differentiation from a septic purulent abscess. 1. Introduction percutaneous drainage, with resolution of the abscess by MRI (Figure 2). She delivered a healthy baby at 37 weeks Purulent skeletal muscle abscesses can occur in Crohn’s of gestation by vaginal delivery after induction of labor. disease[1–3].Wehavepreviouslydescribedwhatwebelieve Two months postpartum, she complained of recurrence to be the first reported case of a sterile seroma complicating of her right flank discomfort. She had no fever or chills. drainage of a septic psoas muscle abscess in Crohn’s disease Laboratory examination was normal, without leukocytosis. [4].
    [Show full text]
  • Psoas Muscle Abscess
    Psoas Muscle Abscess DANIEL ION1,2, BOGDAN SOCEA1,3, ALEXANDRA BOLOCAN1,2, DAN NICOLAE PĂDURARU1,2*, OCTAVIAN ANDRONIC1,2 1Carol Davila University of Medicine and Pharmacy, 37 Dionisie Lupu, 020021, Bucharest, Romania 2Emergency University Hospital of Bucharest, 169 Splaiul Independentei, 050098, Bucharest, Romania 3Sf. Pantelimon Emergency Clinical Hospital, 340 Sos. Pantelimon, 021659, Bucharest, Romania Psoas muscle abcesses are a pathological entity, with very low incidence, and a lot of diagnosis and management discussions.Our paper aims to assess the presence of this pathology in literature as a short introductive narrative review and to present a series of cases from our experience.The research was retrospective, descriptive and enrolled a total of 14 patients.Specialty literature is poor regarding this pathology, with no agreement on the correct diagnosis and treatment algorithm. Future studies may offer diagnostic scores to facilitate rapid diagnosis. Keywords: psoas muscle, abscess Psoas muscle abcesses are a pathological entity, with very low incidence, and a lot of diagnosis and management discussions. Our paper aims to assess the presence of this pathology in literature as a short introductive narrative review and to present a number of cases from our experience. Anatomy Psoas muscle and iliac muscle are considered in specialized literature as a single muscle called iliopsoas, located in an extraperitoneal space called the iliopsoas compartment. The psoas muscle is long and fusiform, located laterally of the lumbar spine, on both sides. It passes under the inguinal ligament and anterior to coxo-femoral joint. It ends with tendinous insertion on the small trochanter of the proximal femural extremity. This muscle is innervated by the branches of the spinal nerves L2- L4 and is the most important flexor of the thigh [1].
    [Show full text]
  • Right Sided Obstructed Femoral Hernia Causing Small Bowel Obstruction
    Right Sided Obstructed Femoral Hernia Causing Small Bowel Obstruction CASE REPORT Right Sided Obstructed Femoral Hernia Causing Small Bowel Obstruction 1 2 3 4 5* A .M. Rajyaguru , B.V. Vaishnani , J. G. Bhatt , I. A. Juneja , Milap Shah 1,2,3 4 5 rd M.S. FIAGES, FMAS, M.S, 2 Year Resident, P. D. U. Govt. Medical College & Hospital, Rajkot ABSTRACT We describe the case of 55 year female with swelling and pain in right inguinal region associated with abdominal distension and vomiting.Abdominal x-rays(upright) were performed which was indicative of small bowel obstruction Ultrasound was suggestive of Right sided inguinal region showing gap defect with herniation of small bowel and omentum non reducible and absence of cough impulse with dilated small bowel . S/O Right sided inguinal hernia with developing small bowel obstruction .CECT Abdomen was showing evidence of dilatation of small bowel loop with air fluid levels within it with max diameter of 32mm. S/O Right sided inguinal hernia 19mm gap defect with small bowel obstruction Key words: Femoral Hernia, Small Bowel Obstruction, Emergency lapatotomy, Pre Peritoneal Meshplasty. INTRODUCTION asymptomatic before 1 year then patient Femoral hernias are elusive conditions that observed small swelling over right despite having life-threatening inguinal region. Initially swelling was of complications are often undiagnosed in small size then gradually its size increased asymptomatic patients . They are less since last 9 months then swelling become common than inguinal hernias and occur painful suddenly and vomiting with more frequently in females . Anatomically, distension of abdomen occurred..All they represent herniations of the peritoneal baseline blood investigations were normal.
    [Show full text]
  • Groin Hernias and Masses, and Abdominal Hernias
    27 Groin Hernias and Masses, and Abdominal Hernias James J. Chandler Objectives 1. To be able to discuss the differential diagnosis of inguinal pain and the diagnosis and management of groin masses and hernias. 2. To develop an understanding of the anatomy, loca- tion, and treatment of different types of hernias; this includes the frequency, indications, surgi- cal options, and normal postoperative course for inguinal, femoral, and umbilical hernia repairs. 3. To understand the definition and clarification of the clinical significance of incarcerated, strangu- lated, reducible, and Richter’s hernias. 4. To develop an awareness of the urgency of surgi- cal referral, the urgency of treating some hernias. 5. To develop an understanding of the differential diagnosis of an abdominal wall apparent hernia or mass, including adenopathy, desmoid tumors, rectus sheath hematoma, true hernia, and neoplasm. Cases Case 1 A 74-year-old woman has noted an intermittent small lump in the right groin for 8 months. This has seemed to go away when she lies down, but it is present when she showers in the morning. Two nights ago, she could feel the lump when supine. It was slightly tender. Yesterday, she began feeling a steady ache in the groin and had poor appetite. The discomfort became worse, and she slept fitfully last night. This morning she felt awful, had a lemon-sized tender right groin mass, and had nausea and some diarrhea. You found her moaning, holding her distended abdomen, and trying to vomit. On examination, there were intermittent 479 480 J.J. Chandler gurgles heard in the abdomen, and a slightly pink, skin-covered, very tender lump was present in the right groin.
    [Show full text]
  • ICD-9-CM Coordination and Maintenance Committee Meeting April 1, 2005
    ICD-9-CM Coordination and Maintenance Committee Meeting April 1, 2005 Diagnosis Agenda Welcome and Announcements Donna Pickett, MPH, RHIA Co-Chair, ICD-9-CM Coordination and Maintenance Committee Sleep disorders ....................................................................................................pg. 8-17 Michael J. Sateia, M.D. President-American Academy of Sleep Medicine (AASM) Epilepsy ...............................................................................................................pg. 18 Cracked tooth ......................................................................................................pg. 19-20 Dental code modifications ..................................................................................pg. 21-23 Sepsis coding Possible/Probable guideline Compartment syndrome.......................................................................................pg. 24-25 Hematology issues ...............................................................................................pg. 26-29 Psoas muscle abscess ..........................................................................................pg. 31 Aspiration syndrome, part 2 ................................................................................pg. 32-35 Torsion dystonia and athetoid cerebral palsy ......................................................pg. 36-37 Myelitis ...............................................................................................................pg. 38-43 Postnasal drip ......................................................................................................pg.
    [Show full text]
  • Iliopsoas Abscess E a Review and Update on the Literature
    CORE REVIEW Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector International Journal of Surgery 10 (2012) 466e469 Contents lists available at SciVerse ScienceDirect International Journal of Surgery journal homepage: www.theijs.com Review Iliopsoas abscess e A review and update on the literature D. Shields a,*, P. Robinson b, T.P. Crowley c a Department of General Surgery, Queen Elizabeth Hospital, Gateshead, County Durham, England, UK b University of Glasgow Medical School, University Avenue, Glasgow, UK c Department of General Surgery, Royal Victoria Infirmary, Newcastle, England, UK article info abstract Article history: Iliopsoas abscess is a rare condition with a varied symptomology and aetiology. Patients with this Received 3 June 2012 condition often present in different ways to different specialities leading to delays in diagnosis and Received in revised form management. Recent advances in the radiological diagnosis of this traditionally rare abscess have 23 July 2012 highlighted that there is a lack of evidence relating to its aetiology, symptomology, investigation and Accepted 21 August 2012 management. This article reviews the currently available literature to present a concise and systematic Available online 5 September 2012 review of iliopsoas abscess. Ó 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. Keywords: Iliopsoas Psoas Iliacus Abscess 1. Introduction arthritis of the hip. The incidence while still low in the West is rising especially in those who are immunocompromised. Patients Iliopsoas abscess (IPA) is a rare condition with a reported inci- with HIV are particularly at risk.6,7 Trauma to the muscle also dence of 0.4/100,000 in the UK.1 It may present with a varied appears to be a significant risk factor.
    [Show full text]