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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.
Before reaching the hilus of the kidney, each artery divides into four or five branches. The anterior branches (the upper, middle, lower and apical segmental arteries) lie between the renal vein and ureter, the vein being in front, the ureter behind. The posterior branches, which are fewer in number and include the posterior segmental artery ...
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.
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.
One renal vein drains each kidney. [citation needed] A renal vein is situated anterior to its corresponding accompanying renal artery.The renal veins empty into the inferior vena cava, entering it at nearly a 90° angle.
Sagittal section through posterior abdominal wall, showing the relations of the capsule of the kidney (pararenal fat labeled as paranephric body center left) Perirenal space. It is also called the perinephric space. Bounded by the anterior and posterior leaves of the renal fascia. It contains the following structures: Adrenal gland; Kidney ...
The renal fascia was originally described as consisting of two distinct structures: the anterior renal fascia (Gerota's fascia), and posterior renal fascia (Zuckerkandl's fascia); these two fasciae were said to fuse laterally to form the lateroconal fascia. Understanding of the structure of the renal fascia has subsequently evolved. [1]
Metanephros is the most complex form of kidney. [44] Each metanephric kidney is characterized by a large number of nephrons and a highly branched system of collecting tubules and ducts, [28] that open into the ureter. [48] Such branching in the metanephros is unique in relation to the pronephros and mesonephros. [44]