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This fissure is a hilum that transmits the vessels, nerves, and ureter. From anterior to posterior, the renal vein exits, the renal artery enters, and the renal pelvis exits the kidney. On the left hand side the hilum is located at the L1 vertebral level and the right kidney at level L1-2. The lower border of the kidneys is usually alongside L3.
The renal fascia separates the adipose capsule of kidney from the overlying pararenal fat. The deeper layers deep to the renal fascia are, in order, the adipose capsule (or perirenal fat), the renal capsule and finally the parenchyma of the renal cortex. [2] At the renal hilum, the renal capsule extends into the renal sinus. [1]
Finally, the interlobar lymphatics join the collecting hilar lymphatics leaving the kidney through renal hilum. [119] Lymphatic vessels are usually absent in the medulla of the mammalian kidneys, and the role of lymphatic vessels is assumed to be performed by vasa recta .
The renal sinus is a cavity within the kidney which is occupied by the renal pelvis, renal calyces, blood vessels, nerves and fat.The renal hilum extends into a large cavity within the kidney occupied by the renal vessels, minor renal calyces, major renal calyces, renal pelvis and some adipose tissue.
The venous drainage of the kidney large mirrors its arterial supply, except that there are no segmental veins. [4] The stellate veins arise from the capillaries, then drain successively through interlobular veins and interlobar veins until these converge from across the kidney to form the renal vein for that kidney.
The arterial supply of the kidneys is variable and there may be one or more renal arteries supplying each kidney. [1] It is located above the renal vein. Supernumerary renal arteries (two or more arteries to a single kidney) are the most common renovascular anomaly, occurrence ranging from 25% to 40% of kidneys. [ 8 ]
Hilum of the liver. In human anatomy, the hilum (/ ˈ h aɪ l ə m /; pl.: hila), sometimes formerly called a hilus (/ ˈ h aɪ l ə s /; pl.: hili), is a depression or fissure where structures such as blood vessels and nerves enter an organ. Examples include: Hilum of kidney, admits the renal artery, vein, ureter, and nerves
Para-aminohippurate (PAH) clearance is a method used in renal physiology to measure renal plasma flow, which is a measure of renal function. [citation needed]PAH is completely removed from blood that passes through the kidneys (PAH undergoes both glomerular filtration and tubular secretion), and therefore the rate at which the kidneys can clear PAH from the blood reflects total renal plasma flow.