c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Right Upper Quadrant Anatomy: 4

A D V E R T I S E M E N T

   
 

The kidneys and adrenal glands are encased in a cushioning layer of renal fat. The adrenals are more fixed in position while the kidneys have some freedom of movement. Excessive movement of a kidney within this layer occasionally allows dramatic descent (ptosis) in an upright position and may kink the ureter.      

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Right Upper Quadrant Anatomy: 5

A D V E R T I S E M E N T

   
 

The anterior layer of renal fascia encloses the kidneys, crosses the midline in front of the great vessels and fuses with the margins of the posterior layer laterally. The fused apron of renal fascia is called lateroconal fascia and joins transversalis fascia . The envelope of renal fascia includes the adrenals above and descends around the ureters below.      

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Right Upper Quadrant Anatomy: 6

A D V E R T I S E M E N T

   
 

The portal vein is formed by the convergence of the splenic vein and the superior mesenteric vein (SMV) and lies diagonally across the infrahepatic portion of the inferior vena cava (IVC). The portal vein and inferior vena cava below lie in the anterior and posterior margins of the slit-like epiploic foramen (of Winslow). The splenic vein descends diagonally from the left upper quadrant, usually receives the inferior mesenteric vein (IMV) just to the left of the fourth portion of the duodenum and passes between the celiac trunk and superior mesenteric artery (SMA) to meet the superior mesenteric vein behind the neck of the pancreas.    

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This page was last modified on 3/1/1999.