Acute dilatation of stomach

This code represents a sudden and significant distension of the stomach, often due to an accumulation of gastric contents (food, fluid, air) that the stomach is unable to empty. It is a serious condition that can lead to gastric ischemia, necrosis, and perforation if not promptly addressed.

Use this code for patients presenting with acute, non-obstructive gastric distension, typically manifesting with severe epigastric pain, nausea, vomiting, and abdominal fullness. Documentation should clearly indicate the acute nature and significant enlargement of the stomach, often confirmed by imaging studies such as X-ray or CT scan.

• Differentiate from chronic gastric dilatation, which has a different underlying etiology and coding.
• Ensure documentation specifies "acute" to support this specific code.
• Investigate and code any underlying causes of the acute dilatation, such as electrolyte imbalances, diabetic gastroparesis, or post-surgical complications, as secondary diagnoses.