CaseAn 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....