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4
INTERNAL STRUCTURE OF THE KIDNEY
Each kidney consists of: Outer cortex convex Inner medulla concave
formed of renal pyramids with apex forming renal papilla it’s open to the
Minor calyces Major calyces Renal pelvis fills most of
the sinus Cortex extends into
medulla as renal columns
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ANTERIOR RELATION Right kidney: Suprarenal gland Liver Duodenum Right colic flexure Ileum Left kidney: Suprarenal gland Stomach Spleen Splenic artery Pancreas Jejunum Left colic flexure
8
POSTERIOR RELATION OF THE KIDNEY
Diaphragm separates the kidney from the pleural cavity and 11th and 12th ribs
Psoas major medially
Quadratus lumborum in the middle
transversus abdominis laterally
NOTE
The right and lift kidney are similar except the right kidney does not have 11th rib
13
URETER
It shows three constriction along its course:
1.Between ureter and pelvis
2.At crossing the external iliac artery
3. At entrance to urinary bladder
14
BLOOD SUPPLY OF THE URETER
Uretric branches of common iliac
Uretric branches of internal iliac
gonadal arteries
17
PARTS AND SURFACES
Parts: It is divided into apex, body fundus and
neck
Surfaces: It has superior, posterior and two inferiolateral
Apex
Body
Fundus
Neck
18
RELATION Posterior relation: Vas deferens Seminal vesicle Rectum Rectovesical fascia Peritoneum
Superior relation: Peritoneum Coils of ileum Sigmoid colon
Lateral relation: Obturator internus
muscle Levator ani muscle
20
BLOOD SUPPLY OF THE URINARY BLADDER
Urinary bladder
Superior vesical artery
Inferior vesical artery
22
PARTS AND SURFACES
Parts: It is divided into apex, body, fundus and
neck
Surfaces: It has superior, posterior and two inferiolateral
23
RELATIONPosterior relation: Uterus Vagina
Superior relation: Peritoneum Uterus
Lateral relation Obturator internus
muscle Levator ani muscle