Christmas Tree Appearance Of Urinary Bladder
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.
Christmas tree appearance of urinary bladder. The appearances have been described as a christmas tree of pine cone bladder. 2012 farlex inc. After reviewing an eight year old boy with nocturnal enuresis urinary tract infections and a christmas tree bladder with upper tract compromise on imaging in the absence of any underlying neurological abnormality he identified a new phenomenon and called it the non neurogenic neurogenic bladder.
It s not pathognomonic and may also be seen in bladder neck obstruction due to non neurogenic causes. It is typically seen in neurogenic bladder however it is not pathognomonic for it and can also be seen in bladder neck obstruction. A pine cone bladder or christmas tree bladder is a cystogram appearance in which the bladder is elongated and pointed with thicken bladder radiology pine cones.
The shape of the bladder is highly abnormality with an elongated appearance with the dome like top of a christmas tree. 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.
Redirected from christmas tree bladder a broad flat and smooth walled atonic bladder with a flaccid base and a jagged superior funneling into the posterior urethra which is typical of spastic neurogenic bladder a finding by cystography that may be mimicked by outlet obstruction with superimposed urinary tract infections. Aug 26 2016 pine cone urinary bladder is appearance of urinary bladder on cystography.
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