Presentation
Chronic difficulty emptying bladder; history of conus medullaris epidermoid cyst resection.
Patient Data
Age: 18 years
Gender: Male
From the case:
Christmas tree bladder
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Tree-shaped urinary bladder with wall hypertrophy which causes an irregular outline. Features compatible with Christmas tree appearance.
Case Discussion
A 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.