title: [Pulmonary thromboembolism after chronic bladder distention].
abstract: OBJECTIVE
  To report a case of pulmonary embolism secondary to chronic over-distended bladder, responsible for iliac vein obstruction.
  
  
  METHODS
  A 73-year-old patient presented with sudden onset of pulmonary embolism, confirmed by isotope lung scan, after drainage of 2,300 cc of urine from an over-distended bladder, responsible for bilateral iliac vein obstruction and a bilateral obstructive uropathy. The patient had a favourable course after anticoagulation with heparin and temporary bladder catheterization, leading to resolution of the peripheral oedema and obstructive uropathy.
  
  
  CONCLUSIONS
  About thirty cases of obstruction of large pelvic vessels due to over-distended bladder have been reported to date. However, and after an extensive review of the literature, this case appears to be the first report of pulmonary embolism secondary to chronic over-distended bladder.
authors.affiliation: Servicio de Urologia, Hospital Comarcal de Monforte, 27400 Monforte de Lemos, Lugo, Espagne. a-sousa@yupimail.com
authors.forename: M A
authors.initials: MA
authors.lastname: Sousa Escandon
authors.forename: M
authors.initials: M
authors.lastname: Alejandro
authors.forename: R
authors.initials: R
authors.lastname: Garcia Figueiras
authors.forename: M
authors.initials: M
authors.lastname: Armesto Fernandez
authors.forename: R
authors.initials: R
authors.lastname: Golpe Gomez
authors.forename: A
authors.initials: A
authors.lastname: Mateos Colino
authors.forename: M L
authors.initials: ML
authors.lastname: Vazquez Pedreda
mesh_terms: D000368:Aged; D002908:Chronic Disease; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000209:etiology*; D016055:Urinary Retention / Q000150:complications*