Christmas tree neurogenic bladder

120 views520y Female10/9/2026

Clinical Presentation

Chronic difficulty emptying bladder. Recurrent urinary tract infections. Otherwise healthy.

1Retrograde cystogram showing a bladder that is markedly trabeculated and reduced in capacity
2The bladder demonstrates 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
3A lipomatous lesion extends along the posterior central canal from L1/2 to L3/4
4Small central areas of decreased signal are noted
5The lesion is effaces and indents the cauda equina
6The conus is slightly low, terminating at L2.Small central disc protrusions are present at L3-L4 and L4-L5.There is spina bifida occulta at L5 and S1-S3
7Diagram of a trabeculated bladder giving the appearance of a Christmas tree
8Notice the similarity to the first image in this case.