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Christmas tree neurogenic bladder

Case contributed by Matt Skalski , 24 Dec 2015
Diagnosis certain
Changed by Matt Skalski, 24 Dec 2015
Hidden edits. Some edits not affecting the appearance of this case have been suppressed.

Updates to Case Attributes

Title was changed:
Christmas Tree Bladdertree neurogenic bladder
Status changed from draft to published (public).
Published At was set to .
Body was changed:

This case represents a neurogenic bladder caused by chronic cauda equina compression by a tethered cord and related sacralspina bifida occulta is likely not related to the presenting symptomatology occulta.

  • -<p>This case represents a <a title="neurogenic bladder" href="/articles/neurogenic-bladder">neurogenic bladder</a> caused by chronic <a title="Cauda equina" href="/articles/cauda-equina">cauda equina</a> compression by a <a title="Fatty filum terminale" href="/articles/lipoma-of-the-filum-terminale">fatty filum terminale</a>. The presence of <a title="Spina bifida occulta" href="/articles/spina-bifida-occulta">spina bifida occulta</a> is likely not related to the presenting symptomatology. </p>
  • +<p>This case represents a <a href="/articles/neurogenic-bladder">neurogenic bladder</a> caused by a <a href="/articles/tethered-cord">tethered cord</a> and related sacral<a title="spina bifida occulta" href="/articles/spina-bifida-occulta"> </a><a title="spina bifida" href="/articles/spina-bifida">spina bifida</a><a title="spina bifida occulta" href="/articles/spina-bifida-occulta"> occulta</a>.</p>

Systems changed:

  • Spine

Updates to Study Attributes

Modality was set to Diagram.
Findings was added:

Diagram of a trabeculated bladder giving the appearance of a Christmas tree. Notice the similarity to the first image in this case. 

Images Changes:

Image 1 Diagram (Diagram) ( create )

Updates to Study Attributes

Findings was changed:

TheRetrograde cystogram showing a bladder that is markedly trebecualted and reduced in capacity. The bladder showsdemonstrates a relative increase in vertical dimension and tapers superiorly, giving the characteristic Christmas tree bladder appearance.

The metallic vascular clips in the right lower quadrant are most likely associated with the reported history of appendectomy. 

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