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Adult Autopsy
Published in Cristoforo Pomara, Vittorio Fineschi, Forensic and Clinical Forensic Autopsy, 2020
Cristoforo Pomara, Monica Salerno, Vittorio Fineschi
Alternatively, the parietal peritoneum can be detached from the posterior structures of the renal cavity using a pointed scalpel. The scalpel is moved from superior to inferior to resect the hilar structures. Then, taking great care not to damage the urethra, follow it and separate it from the underlying structure continuing on up to the pelvic recess behind the posterior wall of the bladder, and then resect it (Figure 2.104). Once the kidney has been removed, peel off the renal fascia and capsule by first making a sagittal incision. In the absence of chronic renal disease, the capsule will strip easily. In the presence of chronic disease, the surface will appear granular.
The patient with acute renal problems
Published in Peate Ian, Dutton Helen, Acute Nursing Care, 2020
The kidneys are situated on the posterior abdominal wall, outside the peritoneal cavity. Located on either side of the vertebral column, they are approximately 11cm in length, 5 to 6cm in width and 3–4cm thick. They are partially protected by the eleventh and twelfth pairs of ribs and they are capped by the adrenal glands. Each kidney is surrounded by three layers: a tough fibrous covering, the ‘renal capsule’, a layer of protective fat and a layer of connective tissue, the ‘renal fascia’, which attaches the kidney to the posterior abdominal wall (see Figure 8.1).
The Urinary System and Its Disorders
Published in Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss, Understanding Medical Terms, 2020
Walter F. Stanaszek, Mary J. Stanaszek, Robert J. Holt, Steven Strauss
The organs that remove dissolved waste products from the blood are the two kidneys. The kidneys are located on each side of the spinal column high on the posterior abdominal wall behind the peritoneum. Despite this retroperitoneal ("behind the peritoneum") location, the kidneys are actually covered by the renal fascia, extraperitoneal connective tissue attached to the abdominal wall. Many terms related to the kidneys incorporate the terms renal (or its combining form reni-) or nephri (or its combining forms nephr- or nephro-), which are derived from the Latin and Greek words for kidney, respectively. The term fascia is from the Latin for "band" and is often applied to any band of connective tissue that covers an anatomic structure. Thus, the renal fascia is connective tissue that covers the kidneys. Within the renal fascia and providing a protective cushion for the organ is a large collection of adipose tissue called the perirenal fat, so named because it is around (peri- = around) each kidney.
The presence of intraperitoneal, retroperitoneal and pleural fluid in acute Puumala hantavirus infection
Published in Infectious Diseases, 2023
L. Tervo, T. Outinen, T. Kiekara, J. Tietäväinen, A. Paakkala, I. Pörsti, H. Huhtala, S. Mäkelä, J. Mustonen
MRI was performed with the patient in the supine position. The abdomen was imaged in coronal and axial directions, and the caudal parts of the pleura were visible in the images. The anatomic locations are presented in Figure 1. In retroperitoneum, perirenal space is located between the kidney and the anterior and posterior renal fascia. The pararenal space lies between the posterior renal fascia and the transversalis fascia. In the intraperitoneal cavity, the perihepatic (subhepatic) space is next to the liver, and the perisplenic space is next to the spleen. The fluid next to the psoas lies near the psoas muscle. The pouch of Douglas is located posterior to the bladder.
Clinical guiding significance of abdominal organs projection on the lateral lumbar X-ray for spinal microendoscopy punctures
Published in The Journal of Spinal Cord Medicine, 2020
Jincai Yang, Yong Hai, Peng Yin, Nan Li, Lijin Zhou, Aixing Pan
In conclusion, this research defines the safe zone and the definite critical puncture point and puncture angle from L1 to S1 according to the projection of the lowest point of the posterior renal fascia and parietal peritoneum. It provides an anatomical reference to avoid intra-operative injury of posterior renal fascia or abdominal organs.