Christmas Tree Appearance Neurogenic Bladder. It is typically seen in neurogenic bladder however it is not pathognomonic for it and can also be seen in bladder neck obstruction. It is typically seen in severe neurogenic bladder with increased sphincter tone detrusor sphincter dyssynergia due to suprasacral lesions above s2 s4 or epiconal lesions in and around s2 s4.
Damage or changes in the nervous system and infection can cause neurogenic bladder. The associated bladder wall hypertrophy gives an outline which mimics the decorations that adorn a christmas tree. The appearances has been described as a christmas tree of pine cone bladder.
The shape of the bladder is highly abnormality with an elongated appearance with the dome like the top of a christmas tree.
Further evaluation was advised to eva. Neurogenic bladder typically occurs in those with sacral abnormalities at birth. The associated bladder wall hypertrophy gives an outline which mimics the decorations that adorn a christmas tree. Voiding cystourethrography voiding cystourethrography vcug also known as a micturating cystourethrography mcu is a fluoroscopic study of the lower urinary tract in wh.
