Christmas tree appearance - neurogenic bladder

Case contributed by Mohammad Taghi Niknejad
Diagnosis almost certain

Presentation

Previous spinal trauma.

Patient Data

Age: 55 years
Gender: Male

Micturating cystourethrogram

Fluoroscopy

Tree-shaped urinary bladder with wall hypertrophy which causes an irregular outline. Features compatible with Christmas tree appearance of neurogenic bladder.

Case Discussion

Christmas tree bladder is a cystographic appearance which is usually seen in severe neurogenic bladder with increased sphincter tone. It's not pathognomonic and may also be seen in bladder neck obstruction due to non-neurogenic causes.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.