Christmas tree bladder

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Bladder issues from childhood.

Patient Data

Age: 20 years
Gender: Male
Fluoroscopy
AP
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Info

Elongated urinary bladder with a conical shape towards the dome of the bladder like a tree.  The bladder wall hypertrophy gives rise to an irregular outline.

Photograph
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Info

Ilustration of a Christmas tree bladder, courtesy of Matt Skalski. See case discussion for full attribution.

Case Discussion

Neurogenic bladder typically occurs in those with sacral abnormalities at birth.  The appearance has been described as a Christmas tree or pine cone bladder. The shape of the bladder is highly abnormal, with an elongated appearance and a dome-like top of a Christmas tree. The associated bladder wall hypertrophy gives an outline that mimics the decorations that adorn a Christmas tree.

Attribution

Author: Matt Skalski

Original file: https://radiopaedia.org/cases/christmas-tree-bladder-3

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