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
