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weigh approximately 5 g
yellow-orange and
noticeably more orange
than the surrounding
adipose tissue
both glands are enclosed within the
perirenal (Gerota's) fascia and are
separated from the
upper pole of the kidneys
by a layer of connective tissue
The RIGHT gland is
pyramidal, directly cranial
to the upper pole of the
right kidney.
Left side joins with the inferior phrenic vein and drains
into the cranial aspect of the left renal vein.
measure 10 to 12 cm vertically, 5 to 7 cm
transversely, and 3 cm in the anteroposterior
dimension.
The right kidney sits 1 to 2 cm lower than the left
in most individuals owing to displacement by the
liver.
Sympathetic preganglionic nerves originate from the eighth thoracic through first
lumbar spinal segments and then travel to the celiac and aorticorenal ganglia.
From here, postganglionic fibers travel to the kidney via the autonomic plexus
surrounding the renal artery.
Parasympathetic fibers originate from the vagus nerve and travel with the
sympathetic fibers to the autonomic plexus along the renal artery.
The ureters are bilateral tubular structures responsible for
transporting urine from the renal pelvis to the bladder.
It then progresses inferiorly along the anterior edge of the psoas muscle.
Anteriorly, the right ureter is related to the ascending colon, cecum, colonic mesentery, and
appendix.
The left ureter is closely related to the descending and sigmoid colon and their
accompanying mesenteries.
Approximately a third of the way to the bladder the ureter is crossed anteriorly by the
gonadal vessels.
As it enters the pelvis the ureter crosses anterior to the iliac vessels. usually at the bifurcation
of the common iliac
The normal ureter is not of
uniform caliber, with three
distinct narrowings
classically described: the
ureteropelvic junction,
crossing of the iliac vessels,
and the ureterovesical
junction.
The simplest system divides the ureter into the abdominal
ureter extending from renal pelvis to the iliac vessels and
the pelvic ureter extending from the iliac vessels to the
bladder.
A- For the upper ureter these branches originate from the renal
artery, gonadal artery, abdominal aorta, and common iliac artery.
The venous and lymphatic drainage of the ureter parallels the arterial
supply. Thus, ureteral lymphatic drainage varies by ureteral level.
1- renal plexus
2- aortic plexus
3- superior hypogastric plexus
4- inferior hypogastric plexus
5- Testicular ( or ovarian ) plexus
Through nerves that follow the blood
vessels
Afferent fibers travel with the
sympathetic nerves and enter the spinal
cord in the 1st & 2nd lumber segment .
Thank you