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The right kidney sits just below the diaphragm and posterior to the liver. The left kidney sits below the diaphragm and posterior to the spleen. On top of each kidney is an adrenal gland. The upper parts of the kidneys are partially protected by the 11th and 12th ribs.
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 anatomical relations of the two renal veins are bilaterally asymmetrical. Left renal vein The left renal vein is situated posterior to the splenic vein , and the body of the pancreas . [ 1 ]
The hepatorenal recess [1] (subhepatic recess, pouch of Morison or Morison's pouch) is the subhepatic space that separates the liver from the right kidney. As a potential space, the recess is not normally filled with fluid. However, fluid can collect here in circumstances where the abdomen fills with fluid, such as hemoperitoneum.
The kidneys are located behind the peritoneum, in the retroperitoneum, outside the abdominal cavity. The viscera are also covered by visceral peritoneum . Between the visceral and parietal peritoneum is the peritoneal cavity , which is a potential space. [ 1 ]
The medial border of the kidney is concave in the center and convex toward either extremity; it is directed forward and a little downward. Its central part presents a deep longitudinal fissure, bounded by prominent overhanging anterior and posterior lips. This fissure is a hilum that transmits the vessels, nerves, and ureter.
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]
Adult ultrasound showing the right lobe of the liver and right kidney. At birth, the liver comprises roughly 4% of body weight and weighs on average about 120 g (4 oz). Over the course of further development, it will increase to 1.4–1.6 kg (3.1–3.5 lb) but will only take up 2.5–3.5% of body weight. [40]