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Perirenal fat is most abundant upon the posterior aspect, inferior pole and along the lateral margins of the kidney. [5] Anterior pararenal space. Bounded by the posterior layer of peritoneum and the anterior leaf of the renal fascia. It contains the following structures: Pancreas; Ascending and descending colon; Duodenum; Posterior pararenal space
One condition called Wunderlich syndrome is spontaneous, nontraumatic kidney bleeding confined to the subcapsular and perirenal space. It may be the first manifestation of a renal angiomyolipoma (AML), or the rupture of a renal artery or intraparenchymal aneurysm. [2]
The renal fascia is a dense, elastic connective tissue envelope enclosing the kidney and adrenal gland, together with the layer of perirenal fat surrounding these two. [1]The renal fascia separates the adipose capsule of kidney from the overlying pararenal fat.
The renal capsule is a tough fibrous layer surrounding the kidney and covered in a layer of perirenal fat known as the adipose capsule of kidney. The adipose capsule is sometimes included in the structure of the renal capsule. It provides some protection from trauma and damage. The renal capsule is surrounded by the renal fascia.
The kidney is surrounded by tough fibrous tissue, the renal capsule, which is itself surrounded by perirenal fat, renal fascia, and pararenal fat. The anterior (front) surface of these tissues is the peritoneum, while the posterior (rear) surface is the transversalis fascia. The superior pole of the right kidney is adjacent to the liver.
The interstitium is the cells and extracellular matrix in the space between the glomeruli, vessels, tubules, and collecting ducts. [94] [95] The interstitial space surrounding cells is filled with interstitial fluid. [96] The interstitium between the tubules contains fibroblasts, dendritic cells, macrophages and lymphocytes.
Retroperitoneal bleeding is an accumulation of blood in the retroperitoneal space. Signs and symptoms may include abdominal or upper leg pain, hematuria, and shock. It can be caused by major trauma or by non-traumatic mechanisms.
To the left side of the duodenojejunal flexure, recesses or fossae may be created by peritoneal folds. [2]The paraduodenal recess proper is situated posterior to the superior extremity of the inferior mesenteric vein.