ABS TRACT Pressure ulcers, also called pressure sores/bed sores are localized damage to the skin and/or tissue underneath that usually develops due to long-term pressure, or pressure along with shear/friction. Although there is growing awareness regarding the dramatic effects of pressure ulcers on quality of life, as well as on the cost of hospitalization, the rate of pressure ulcers among hospitalized older adults has not decreased during the last decade. Due to their unusual locations and different etiologies, atypical pressure ulcers can be discriminated from common pressure ulcers. The diagnosis of atypical pressure ulcers may be late due to their atypical localizations. Thus, appropriate treatment may not be provided in a timely manner, which leads to the worsening of the clinic in the elderly population with multi-comorbidities. A multidisciplinary approach is essential for the prevention, determination and management of atypical pressure ulcers. In this article, a case of atypical pressure ulcer located on the medial side of the right cruris in a left hemiplegic patient is presented in the light of current literature.