Bilateral Gluteal Ischemic Necrosis Mistaken for Stage IV Pressure Wound: Case Report and Discussion. Issue 2 (March 2015)

• Record Type: Journal Article
• Authors: Simman, Richard; Reynolds, David
• Is Part Of: Journal of WOCN. Volume 42:Issue 2(2015)
• Publication Date: 2015-03
• Subjects: gluteal wound -- ischemic necrosis -- pressure wound; Abdomen -- Surgery -- Periodicals; Abdomen -- Wounds and injuries -- Nursing -- Periodicals; Bedsores -- Nursing -- Periodicals; Fecal incontinence -- Nursing -- Periodicals; Enterostomy -- Nursing -- Periodicals; Urinary incontinence -- Nursing -- Periodicals; 610.73
• DOI: 10.1097/WON.0000000000000117
• Languages: English
• ISSNs: 1071-5754

Abstract

Abstract : BACKGROUND: 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. CASE: 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. CONCLUSION: Wound care providers should be aware of this differential diagnosis especially in patients with history of vascular disease.