Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
Subjects:
Publisher: New York, London : D. Appleton and company

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
distribution of this fat is cpiite characteristic and deserves closer study.In adults it is found more developed than in children, where it is occasionallywanting, and women have a thicker deposit than men. Anteriorly it is verysparse and at the areas of contact with the soft and yielding intestines is gen-erally absent. On the other hand, at the posterior surface between the kidney and theunyielding ribs and muscular wall, there is a considerable amount, increasingin thickness at the poles, especially the lower one, and at the hilum. At thelower pole the kidney rests in its cushion of fat as in a nest (Fig. 40). Thissoft bed allows the kidnev to execute its normal movements caused bv the 56 THE RELATION OF THE KIDNEYS TO THE NEIGHBORING ORGANS. diaphragmatic motion. The great deposit around the hiliim is a protectionto the renal pedicle, permitting at the same time the pelvis and vessels tochange their volume. The lower portion of the fat splits into two channels, a main triangular ,
Text Appearing After Image:
Fig. 38.—Section of the Body 5.5 cm. Lower Than Fig. 37. It is now in the pelvis.Both perirenal fat and retroperitoneal fat are still traceable and the ureter remains inthe fascia. mass lateral to the psoas and a smaller deposit following the ureter (seeFig. 40 A). The capsula adiposa or perirenal fat is enveloped by the fascia renalis,a rather delicate membrane, consisting of two leaves, a prerenal and a retro-renal layer, the latter of which is sometimes called iliac fascia. Both layersunite above, below and laterally to the kidney, but not medianward, wherethe posterior leaf is attached behind the large abdominal vessels to the vertebras,while the anterior leaf passes over to the other side in order to continue asprerenal fascia of the other kidney. Above, the two leaves of renal fascia TOPOGRAPHY OF THE KIDNEYS FROM WITHIN. 57 unite near the tendinous portion of the diaphragm with which they fuse; below,they unite anywhere between the region of the iliac crest and the femoralrin

Note About Images