ICD 10 CM S31.143 | Description & Clinical Information

ICD 10 S31.143 describes a specific type of injury, namely a puncture wound with a foreign body, that occurs in the right lower quadrant of the abdominal wall, where a sharp object such as needles, glass, nails, or wood splinters pierces the skin and leaves a foreign object in the wound, but without penetrating the peritoneal cavity, which is the space behind the membrane that lines the abdominal cavity.

Official Description Of S31.143

The ICD 10 CM book defines ICD 10 code S31.143 as:

Clinical Information

The diagnosis describes by ICD 10 CM S31.143 is a puncture wound with a foreign body of the right lower quadrant of the abdominal wall without penetrating the peritoneal cavity. This type of injury can cause pain, bleeding, numbness, paralysis, or weakness due to nerve injury, bruising, swelling, infection, and inflammation.

To diagnose this condition, healthcare providers often rely on the patient’s personal history and conduct a thorough physical examination to assess the wound, nerve, or blood supply. In addition, they may also use X-rays to determine the extent of damage. The severity and location of the puncture wound can help determine the best course of treatment.

Treatment options for a puncture wound with a foreign body in the abdominal wall may include stopping any bleeding, removing the foreign object, cleaning and debriding the wound, and repairing the affected area. Providers can also prescribe appropriate topical medications and dressing, and administer medications like analgesics, antibiotics, tetanus prophylaxis, and nonsteroidal anti-inflammatory drugs.

If a patient’s puncture wound is severe, they may require surgery or additional medical interventions to treat any nerve or tissue damage. Prompt medical attention is vital to prevent complications such as infection, inflammation or post-traumatic pseudocyst, which is a rare but serious complication that can lead to abscess formation.

The recovery time for this condition can vary depending on the severity of the injury, the location, and the individual patient’s overall health. Patients are usually advised to rest and avoid any strenuous activities that may worsen the wound. Closely monitoring the wound for signs of infection and seeking prompt medical attention if any complications arise is essential to protect the healing process.

It’s worth noting that foreign bodies in the abdomen are relatively rare, and more often found in the foot, hand, or eye. However, it’s important to exercise caution and practice safe handling of sharp objects or power tools to avoid the risk of a puncture wound injury.

In summary, a puncture wound with a foreign body in the abdominal wall is a potentially serious injury that can cause a range of painful symptoms. Rapid diagnosis and treatment are crucial to prevent further complications and promote healing. Healthcare providers can recommend various treatment options and medication to support the recovery process, but it’s essential to closely monitor the wound and seek follow-up care as needed.