An Unusual Presentation of Deep Tissue Injury, Do We Really Understand It?

A Case Report and Literature Review

Walid Mari, MD; Sara Younes, MD; Richard Simman, MD, FACS, FACCWS


Wounds. 2017;29(5):E32-E35. 

In This Article


This case represents an unusual presentation of DTI. The skin, with its rich blood supply, is more resilient to pressure in comparison to muscle and adipose tissue, which has limited blood supply. Furthermore, skin may be the last layer to be affected. This may mask the underlying process. Therefore, clinicians should be aware that DTI could present itself with only painful subcutaneous tissue induration and without purple and maroon skin discoloration. Ultimately, early detection of DTI and proper treatment will improve clinical outcomes.