| The external autopsy examination revealed anasarca with ascites, jaundice, diffuse petechiae and purpura, and a presacral decubitus ulcer. |
| It was therefore decided to admit the patient for surgical management of the decubitus ulcer. |
| The abscess described above was located below the surface of the decubitus ulcer. |
| The operation was performed with the patient under general anesthesia and in the lateral decubitus position with a thigh tourniquet. |
| When supine, the muscle is flattened and bandlike. When decubitus or prone, the sternalis muscle is mobile and may have a bulging appearance. |
| The patients were positioned in the lateral decubitus position, under general anesthesia. |
