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ICD Hub / Diseases of the genitourinary system (N00–N99) / GA01.01 - Acute inflammatory disease of uterus with pyometra
ICD-11

ICD-11 Codes
for GA01.01 - Acute inflammatory disease of uterus with pyometra
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Acute Inflammatory Disease of Uterus with Pyometra

Acute inflammatory disease of the uterus with pyometra (ICD-11 code GA01.01) is a serious medical condition characterised by a severe infection within the uterus, leading to the accumulation of pus. This acute inflammation requires prompt medical attention due to its potentially life-threatening nature. The condition involves significant inflammation of the uterine lining and cavity, often accompanied by systemic signs of infection.

Recognising the Signs of Uterine Infection with Pus

Patients experiencing acute inflammatory disease of the uterus with pyometra may present with a range of symptoms. These can include fever, significant lower abdominal pain, and abnormal vaginal discharge, which may be purulent (containing pus), cream-coloured, or bloody. Other common clinical signs include lethargy, a poor appetite, increased thirst and urination, a distended or painful abdomen, vomiting, and general malaise. The severity of symptoms can depend on whether the cervix is open or closed, with closed cervix cases often leading to more rapid deterioration.

Factors Contributing to Pyometra Development

The primary cause of acute inflammatory disease of the uterus with pyometra is bacterial infection. Bacteria, commonly ascending from the vagina, can infect the uterine cavity. Hormonal influences, particularly progesterone, can play a role by causing thickening of the uterine lining and increased fluid secretions, creating an environment conducive to bacterial growth. Risk factors can include recent childbirth, gynaecological procedures, or conditions that compromise the uterine environment.

Diagnosing Acute Uterine Inflammation and Pus Accumulation

Diagnosing acute inflammatory disease of the uterus with pyometra typically involves a comprehensive clinical assessment. This includes a physical examination, paying close attention to pelvic findings and any vaginal discharge. Imaging techniques such as ultrasound or X-rays are crucial for visualising an enlarged uterus filled with fluid or pus. Laboratory tests, including blood work to assess for signs of infection and inflammation, and vaginal cytology or cervical swabs to identify potential causative bacteria, are also vital. In some cases, an endometrial biopsy might be considered.

Managing Uterine Infections and Pyometra

Acute inflammatory disease of the uterus with pyometra is considered a medical emergency requiring immediate intervention. The cornerstone of treatment is typically surgical removal of the uterus and ovaries (ovariohysterectomy), often referred to as a spay. This is usually accompanied by intravenous (IV) fluid therapy to address dehydration and shock, and a course of broad-spectrum antibiotics to combat the infection. While medical management with hormones and antibiotics exists, it is rarely recommended, especially for critically ill patients or those with a closed cervix, due to significant risks and lower success rates.

Alternative Names for GA01.01

This condition is also known by several other clinical terms, reflecting its nature. Common synonyms include: * Acute inflammatory disease of uterus with uterine abscess * Acute septic endometritis * Acute purulent endometritis These terms are often used interchangeably in clinical documentation and billing. The ICD-11 code GA01.01 accurately captures these variations.

Frequently asked questions

What is the ICD-11 classification for 'Acute inflammatory disease of uterus with pyometra'?
GA01.01 is the ICD-11 code for Acute inflammatory disease of uterus with pyometra, categorized under Inflammatory disorders of the uterus, except cervix.
How is 'Acute inflammatory disease of uterus with pyometra' coded in ICD-11?
The ICD-11 code for 'Acute inflammatory disease of uterus with pyometra' is GA01.01. This code is part of the 'Acute inflammatory disease of uterus' block (GA01.0).
Can ICD-11 codes like GA01.01 be further specified for coding purposes?
Yes, ICD-11 supports post-coordination, allowing for the addition of stem and/or extension codes to a base code like GA01.01 to create a cluster code that adds detail to the condition.
What are the related ICD-11 categories for acute inflammatory diseases of the uterus?
Related ICD-11 categories include 'Acute endometritis' (GA01.00) and 'Acute inflammatory disease of uterus, unspecified' (GA01.0Z), alongside 'Acute inflammatory disease of uterus with pyometra' (GA01.01).
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