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compiled by Prof. Emer. Dr. András Csillag with the collaboration of

Kidney and urinary passages , Anatomical relations. compiled by Prof. Emer. Dr. András Csillag with the collaboration of Prof. Emer. Dr. Erzsébet Fehér. Surface projection of the organs of the urinary system. Topography and surface projection of the kidneys.

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compiled by Prof. Emer. Dr. András Csillag with the collaboration of

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  1. Kidney and urinarypassages, Anatomical relations compiled by Prof. Emer. Dr. András Csillag with the collaboration of Prof. Emer. Dr. Erzsébet Fehér

  2. Surface projection of theorgans of theurinarysystem

  3. Topography and surface projection of thekidneys

  4. Topographic relations of thekidney in the retroperitoneum The anteriorsurface of thekidney is coveredby: Perirenalfat Pararenalfat Prerenalfascia (of Gerota) Parietal peritoneum (partly)

  5. Coverings of thekidney • Renal fascia (outermost) - Anterior layer: Prerenal fascia (of Gerota) - Posterior layer: Retrorenal fascia (of Zuckerkandl) 2. Adipose capsule (middle) 3. Fibrous capsule (innermost)

  6. Position of thekidney in therenalbed Gerota Zuckerkandl

  7. Renal capsules, axial CT • Aorta • Jejunum • Colon descendens • V. mesenterica inf. • Vertebra lumb. II. • M. psoas major • Art. renalis • Ren • Capsula adiposa ant. (perirenalis) • Lamina ant. fasciae renalis (Gerota) • Fascia lateroconalis • Lamina post. fasciae renalis (Zuckerkandl) • Costa X. • Canalis vertebralis • Processus spinosus • M. erector spinae • M. quadratus lumborum • Costa XII. • M. serratus post. inf. • M. latissimus dorsi • Capsula adiposa post. (pararenalis) • Costa XI.

  8. Renal sinus – Renal pelvis - Renal hilum Midsagittal section of left kidney (of Bertin) Tillmann, Atlas d. Anatomie, Springer, 2005

  9. Renal sinus Papillary necrosis – Diabetes, abuse of painkillers Tillmann, Atlas d. Anatomie, Springer, 2005

  10. Syntopies ofrightkidney(ventralaspect) • Right adrenal gland • Liver • Descending (2nd) partof duodenum • Inferior vena cava • Ureter • Ascending colon • Hepatic flexureof colon

  11. Syntopies ofthekidney(dorsalaspect)

  12. Structureandformof rightkidney Topography of renalhilum ventral Vein Artery Ureter dorsal

  13. Macroscopicstructure of kidney (Bertini)

  14. Blood supply: A. iliaca int. → A. vesicalis sup. et inf.

  15. Veins: plexus vesicalis → V. iliaca int.

  16. Types of renal pelvis • dendritic • ampullar Tillmann, Atlas d. Anatomie, Springer, 2005

  17. Variations 1 Retrocaval position of right ureter (danger: Megaureter) Ventral rotation of renal pelvis Tillmann, Atlas d. Anatomie, Springer, 2005

  18. Variations 2 Horseshoe kidney Tillmann, Atlas d. Anatomie, Springer, 2005

  19. Topography of ureter

  20. Constrictions of ureter

  21. Commonsites of occurrence of urinarystones

  22. Crossings of ureter First: Gonadal vessels Second: External iliac artery + vein Third: Vas deferens or Uterine art.

  23. Pyelography (Urography) Csillag, Anatomy of the Living Human, Könemann, 1999

  24. Computer tomography of urinary passages - SSD reconstruction image Csillag, Anatomy of the Living Human, Könemann, 1999

  25. Musculature of the urinary bladder Tillmann, Atlas d. Anatomie, Springer, 2005

  26. Trigonum vesicae (vesical trigone) Tillmann, Atlas d. Anatomie, Springer, 2005

  27. Trigonum vesicae (vesical trigone) Opening sling Closing sling Tillmann, Atlas d. Anatomie, Springer, 2005

  28. Endovaginal sonography of bladder Ostium of ureter, cystoscopy Tillmann, Atlas d. Anatomie, Springer, 2005 Clinical studies

  29. Kidney transplant

  30. Hemodialysis

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