ABSTRACT
Renal failure diabetic patients who present with lower extremity gangrene represent one of the most difficult
problems encountered in a typical vascular practice. We report the hospital course and management of a 74-yearold
male patient with such comorbidities, affected by a non healing ulcer that progressed into a large plantar
abscess. Our case unfortunately mirrors a common method of evaluation and therapy of patients with such
comorbidities and sets up the stage for a very controversial subject.