Presentation
Chronic poor urinary stream.
Patient Data
Age: 80 years
Gender: Male
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By injecting the contrast medium through a Foley catheter, a small trabeculated urinary bladder with multiple outpouchings is seen, resembling a Christmas tree or pine cone.
Case Discussion
The retrograde cystogram demonstrates a Christmas tree or pine cone bladder that typically refers to a neurogenic bladder. Occasionally, as in this case, it is also seen in a long-standing bladder neck obstruction.