URINARY SYSTEM REN, NEPHROS - facies anterior et posterior - margo lateralis et medialis - hilum renale - sinus renalis - extremitas superior et inferior R L Capsula fibrosa Cortex renalis Medulla renalis – 6-20 pyramides renales Columnae renales Pars radiata corticis Papilla renalis Ductus papillares Foramina papillaria Area cribrosa Sinus renalis Lobus renalis (Renculus) Renculi-marking (renculization) NEPHRON - Corpusculum renale (Malpighi) - Glomerulus - Capsula glomeruli (Bowman) - Tubulus proximalis - Henle’s loop - Tubulus distalis Tubulus colligens Ductus papillaris Foramen papillare A. renalis - r. anterior – 4 rr. praepelvici - r. posterior – r. retropelvicus - aa. lobares – aa. interlobares Segmenta renalia – s. superius - s. anterius superius - s. anterius inferius - s. inferius - s. posterius Aa. interlobares: 1. A. arcuata 2. A. interlobularis 3. Vas afferens 4. Vas efferens 5. Peritubular capillary plexus 6. Arteriola recta 7. Capillary plexus in the medulla 8. Capillary plexus around papillary duct 9. Venulae stellatae 10.V. interlobularis 11.V. arcuata 12.Vein from the peritubular plexus 13.Venulae rectae Aa. renales accessoriae 1. Diaphragma 4. M. transversus abdominis 2. 11th rib 5. M. quadratus lumborum 3. 12th rib 6. M. psoas major N. subcostalis N. iliohypogastricus N. ilioinguinalis 1. Gl. suprarenalis dx. 2. Liver 3. Duodenum 4. Flexura coli dx. 5. Jejunum 1. Gl. suprarenalis sin. 2. Stomach 3. Spleen 4. Pancreas 5. Flexura coli sin. 6. Jejunum SIN. 1. Fascia renalis 5. Corpus adiposum pararenale 2. Lamina praerenalis 6. Peritoneum 3. Lamina retrorenalis 7. Fascia transversalis 4. Capsula adiposa REN MIGRANS Nephrolithiasis Calcium oxalate crystals – 80% Uric acid – 5 - 10% Transverse section through the intervertebral disc between T12 and L1 Cross-sectional image through the L1 obtained with CT GLANDULA SUPRARENALIS – facies anterior – hilum - facies posterior - facies renalis Cortex Medulla Five-month old fetus CALICES RENALES – minores et majores PELVIS RENALIS URETER 1. pars abdominalis 2. pars pelvina 3. pars intramuralis ostium ureteris LANZ VESICA URINARIA -fundus vesicae -corpus vesicae -apex vesicae - lig. umbilicale medianum -cervix vesicae Trigonum vesicae – ostia ureterum - ostium urethrae internum - plica interureterica - fossa retrotrigonalis - bundles of Bell - uvula vesicae - m. detrusor - m. sphincter vesicae - m. sphincter urethrae Median section through the male pelvis 1. Excavatio rectovesicalis Median section through the female pelvis 1. Excavatio rectouterina 2. Excavatio vesicouterina URETHRA FEMININA - pars intramuralis - pars pelvina - pars membranacea - pars perinealis URETHRA FEMININA Crista urethralis Lacunae urethrales Glandulae urethrales Ductus paraurethrales IVU Retrograde pyelography Vesicoureteral reflux (VUR) – voiding cystourethrogram (VCU) Retrocaval ureter Ureter duplex Horseshoe kidney Illustrations 2, 3, 5, 6, 8, 9, 12, 17-24, 26 and 28 were copied from: Atlas der Anatomie des Menschen/Sobotta. Putz,R., und Pabst,R. 20. Auflage. München: Urban & Schwarzenberg, 1993) Illustrations 4, 7, 10, 11, 13-15, 21, 25, and 27 were copied from: Čihák R: Anatomie 2 (Splanchnologia). Avicenum, zdravotnické nakladatelství, Praha, 1988.