Hemorrhagic Complications in Pancreatic Neuroendocrine Tumors: A Case of Rapid Hematoma Formation.

Pancreatic neuroendocrine tumor (pNET) is a rare condition which may present with abdominal pain, dyspepsia, and jaundice. pNETs that do not produce hormones are considered non-functioning and are associated with morbidity through metastasis to nearby organs or mass effect. Metastatic pNET lesions have a propensity to bleed and may lead to significant hemorrhage. We present a case of an older adult who presented with an abdominal wall hematoma in the setting of metastatic pNET. This was resolved with embolization of nearby arteries and subsequent management of pNET with octreotide. This case highlights the importance of recognizing acutely deteriorating progressions of initially stable malignancies.