Christmas tree bladder

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Urological problems from childhood.

Patient Data

Age: 15 years
Gender: Male

Voiding cystourethrogram (VCUG

Fluoroscopy

Injecting contrast medium via a Foley catheter allows visualization of the tree-shaped urinary bladder, revealing wall hypertrophy with an irregular and trabeculated outline, along with some outpouching indicating diverticula.

No vesicoureteric reflux is seen.

Case Discussion

Christmas tree bladder in a 15-year-old boy with neurogenic bladder, that often caused by elevated sphincter tone (detrusor sphincter dyssynergia) from suprasacral lesions (above S2-S4) or epiconal lesions (in and around S2-S4).

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