Ischemic necrosis of the gluteal region can result in an ulceration that may be mistaken for a Stage IV decubitus ulcer.

Clinical features:

(1) necrotic gluteal wounds

(2) underlying cause for ischemia (see below)

(3) pain which may extend into trunk and/or legs


Causes of ischemia:

(1) severe peripheral arterial disease

(2) embolic event (including embolization to control hemorrhage)

(3) vasculitis

To read more or access our algorithms and calculators, please log in or register.