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[10] [11] [12] The left kidney is approximately at the vertebral level T12 to L3, [13] and the right is slightly lower. 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.
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 ...
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 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]
The kidneys in mammals are usually bean-shaped [4] or externally lobulated. [5] They are located behind the peritoneum (retroperitoneally) [6] on the back wall of the body. [7] The typical mammalian kidney consists of a renal capsule, a peripheral cortex, an internal medulla, one or more renal calyces, and a renal pelvis. [7]
The duodenojejunal flexure is surrounded by the suspensory muscle of the duodenum. [4]: 274 It is retroperitoneal, so is less mobile than the jejunum that comes after it, helping to stabilise the jejunum. [5] The duodenojejunal flexure lies in front of the left psoas major muscle, the left renal artery, and the left renal vein.
The renal circulation supplies the blood to the kidneys via the renal arteries, left and right, which branch directly from the abdominal aorta. Despite their relatively small size, the kidneys receive approximately 20% of the cardiac output. [1]
This illustration demonstrates the normal kidney physiology, including the Proximal Convoluted Tubule (PCT), Loop of Henle, and Distal Convoluted Tubule (DCT). It also includes illustrations showing where some types of diuretics act, and what they do. Renal physiology (Latin renes, "kidneys") is the study of the physiology of the kidney.