K45.0: Other specified abdominal hernia with obstruction, without gangrene

Abdominal organs have pushed through a gap from your abdominal cavity.

The abdominal cavity is bound at the front by the abdominal wall and at the rear by the back. Up toward the head, the abdominal cavity is separated from the ribcage by the diaphragm. Below, the abdominal cavity is separated from the pelvis by muscles and connective tissue.

The abdominal wall and back are made up of various layers. From the outermost to the innermost, the layers are: the skin, the fatty tissue, the muscles and various connective tissue layers. These keep the abdominal cavity tight, so that the organs remain in the abdomen even at high pressure.

There are some natural weak points in the boundary of the abdominal cavity. If these weak points become even weaker, the intestines can then protrude outward through the diaphragm or into the pelvis. In your case, the intestines have protruded through one of these weak points. This is also called a hernia. The intestines protrude through the weak points if the pressure in the abdomen is very high. That may occur for instance during coughing or squeezing. Pressure in the abdomen also increases with heavy lifting.

In your case, the intestines are jammed in the gap. The blood supply may then be cut off. In that case, the intestines are no longer properly supplied with blood and can thus be damaged. If this condition lasts too long, the intestines may necrotize.

Additional indicator

On medical documents, the ICD code is often appended by letters that indicate the diagnostic certainty or the affected side of the body.

  • G: Confirmed diagnosis
  • V: Tentative diagnosis
  • Z: Condition after
  • A: Excluded diagnosis
  • L: Left
  • R: Right
  • B: Both sides

Further information

Note

This information is not intended for self-diagnosis and does not replace professional medical advice from a doctor. If you find an ICD code on a personal medical document, please also note the additional indicator used for diagnostic confidence.
Your doctor will assist you with any health-related questions and explain the ICD diagnosis code to you in a direct consultation if necessary.

Source

Provided by the non-profit organization “Was hab’ ich?” gemeinnützige GmbH on behalf of the Federal Ministry of Health (BMG).

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Hernias

Most hernias occur when part of the bowel or peritoneum pushes through a gap in the abdominal wall. Inguinal hernias are the most common type of hernia. It is mainly men who develop them.