posterior body wall Flashcards
kidney
primary retroperitoneal in paravertebral gutters inferior pole ore lateral than superior pole, hilum faces anteromedially right kidney TV12-L3 left kidney TV11-L2
posterior to kidney
diaphragm psoas major quadratus lumborum transversus abdominis subcostal n iliohypogastric n ilioinguinal n
anterior to right kidney
liver
duodenum
ascending colon
anterior to left kidney
stomach spleen pancreas jejunum descending colon
renal fat
pararenal- external to renal fascia
perirenal-internal to fascia
renal aa
lateral paired visceral brr of aorta
right longer than left passes posterior to IVC
5 segmental/end aa
renal vv
course ant to renal aa
drain directly to ICV
left longer then right, receives gonadal, inferior phrenic, left suprarenal before joining IVC
nutcracker syndrome
left renal v passes btwn SMA and aorta -> compressed
ureter
retroperitoneal
posterior- psoas major, common iliac vessels
anterior- gonadal and colic vessels
ureter constrictions
at renal pelvis/ureteric jnx
over pelvic brim
at entry to bladder
arterial supply ureter
upper- renal
middle- gonadal, aorta, common iliac
lower- internal iliac
suprarenal gland fnx
endocrine secretes: -cortisol -aldosterone -androgens -epi -NE
suprarenal gland features
retroperitoneal
superior pole of kidney, btwn kidney and crura of diaphragm
invested w/in renal fascia, but separated by thin septum
right suprarenal gland is pyramidal-shaped
left suprarenal crescent shaped
internal suprarenal features
Cx- production f sterioids
medulla- postganglionic sympathetic neurons (epi/NE)
lymph suprarenal
drainage to lumbar nodes
thoracoabdominal diaphragm- sternal
small anterior
attached to xiphoid
thoracoabdominal diaphragm
large lateral
attached to ribs 7-12
lumbar portion
right crus- LV1-LV3
left crus- LV1-LV2
median arcuate lig
tendinous arch btwn left and right crura
forms aortic hiatus at TV12
medial arcuate lig
tendinous arch from body to transverse process of LV1
arches over psoas major
lateral arcuate lig
tendinous arch from transverse process of LV1 to 12th rib
arched over quadratus lumborum