Bilateral gluteal ischemic necrosis mistaken for stage IV pressure wound: case report and discussion

Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
Richard Simman, David Reynolds

Abstract

Sacral and gluteal pressure wounds are a common problem in elderly and critically ill patients. Prompt and accurate diagnosis is important to determine the best plan of treatment. A 48-year-old female was hospitalized with severe trunk pain and bilateral necrotic gluteal wounds present for more than 1 year initially diagnosed as stage IV pressure ulcers; she reported pain radiating to her lower extremities. She had multiple comorbid conditions, including peripheral vascular disease, smoking, and hypertension. Wound care providers should be aware of this differential diagnosis especially in patients with history of vascular disease.

Citations

Jul 1, 2015·International Wound Journal·Joyce M BlackJeremy S Honaker
Dec 4, 2019·Advances in Skin & Wound Care·Barbara DelmoreLinda Rolnitzky
Jul 6, 2019·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Joyce M Black

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