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:
e posterior leaf is attached to thebodies of vertebrae, to the intervertebral discs, to the psoas muscle, the walls ofthe renal niches, and runs over around the convex border of the kidney to fusewith anterior leaf. The two leaves fuse together above and are attached to thediaphragm. Below they do not unite, but pass ofi into the iliac fascia. Fiberspass from this capsule through the perirenal fat to the true capsule of the kidney,and normally the relationship is so loose that the kidney moves readily withinthis capsule. In the literature this capsule is described as the capsule of Gerota,Kiistner, and Zuckerkandl, and the fascia perirenalis (Figs. 31), -10, and -il). 464 MOVABLE KIDNEY. (3) The perirenal fat, or, as it is frequently called, tlie fatty cap-sule, immediately surronnds the kidney. This fat is of a pale lemon color,sharply contrasting with the reddish subperitoneal fat, of a very soft fluid con-sistency, and does not appear until the tenth year of life. It varies greatly
Text Appearing After Image:
Fig. 232.^—Diagrammatic Representation op Influence op Abdominal Wall onIntra-Abdominal Pressure and Upon Position op Kidneys. A, shows intact wall;B, opened abdomen, in erect posture. Approximately the same difference maintainsbetween a normal muscular abdominal wall and a relaxed one. in amount in the adult, but is rarely entirely absent; even in very thin peo-ple it is frequently abundant. It is particularly plentiful on the posteriorface and the low^er pole of the kidney and around the renal vessels, thoughthere is much less of it on the anterior face. This fatty capsule has been aptly ANATOMICAL FACTS. 4G5 described by Albarran as a fatty atmosphere snrroimding the kidney, andits function would seem to be to afford a cushioning to prevent jarring. Thekidney normally moves inside this fatty capsule, but wli(>n the motion is con-siderable, or when through inflammation the fatty capsule becomes very adher-ent to the true capsule of the kidney, it moves with the kidney (Figs. 39

Note About Images