An 84-year-old female with gross hematuria.

摘要

An 84-year-old female presented to the emergency department with a chief complaint of painless gross hematuria for 2 days. She had a past medical history of pancreatic adenocarcinoma status post-Whipple procedure in 2004 followed by adjuvant chemoradiotherapy, diabetes mellitus, diastolic congestive heart disease, and osteoporosis. Regarding her pancreatic cancer, she developed further recurrence of her disease at her umbilicus, for which she received salvage gemcitabine and further radiotherapy. Her umbilical mass did not reduce in size and she had further progression of her disease with metastases to the liver, lungs, and spine. During urological consultation, the patient reported no prior episodes of gross hematuria but a significant history of chronic nocturia and urinary frequency. She denied any history of urinary tract infections, nephrolithiasis, or other genitourinary complaints.