J Wound Manag Res.  2023 Oct;19(3):220-226. 10.22467/jwmr.2023.02705.

Thigh Abscess Formation Due to Severe Sacral Pressure Ulcer Dissemination: A Case Report

• Kim JH
• Lee MS
• Park MC
• Lee TJ
• Chung CM

• KMID: 2547342
• DOI: http://doi.org/10.22467/jwmr.2023.02705

Abstract

Patients with chronic and non-healing pressure ulcers are susceptible to recurrent infections, often leading to complications, such as abscesses. However, to the best of our knowledge, no cases of abscesses disseminating from a pressure sore to the thigh have yet been reported in the literature. We report the case of a 53-year-old man with a severe pressure ulcer in the sacral area and an abscess extending to the thigh. The presence of an abscess in an area devoid of pressure ulcers was suspected. Prior to surgical intervention, a comprehensive evaluation was undertaken, culminating in debridement and subsequent reconstruction, yielding excellent results. Abscesses are often difficult to evaluate with physical examination alone. Therefore, the possibility of extensive abscess formation and dissemination should be considered in patients with severe pressure ulcers.

Keyword

Pressure ulcer; Magnetic resonance imaging; Abscess thigh; Case reports