Kidney Anatomy: Hilum, Capsule, and Vessels

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Questions and Answers

A surgeon needs to access the renal artery during a complex nephrectomy. Considering its position within the hilum, which approach would provide the most direct access to the renal artery?

  • An anterior approach, carefully retracting the renal vein.
  • A posterior approach, medial to the ureter. (correct)
  • A lateral approach, dissecting through the perinephric fat.
  • An inferior approach, following the course of the ureter.

A CT scan reveals a mass located between the kidney and the inferior vena cava. Which anatomical structure should be evaluated closely to determine if it’s affected by the mass?

  • The left renal vein.
  • The left adrenal gland.
  • The paranephric fat.
  • The right adrenal gland. (correct)

During a surgical procedure near the kidneys, a medical student observes that the left renal vein is significantly longer than the right. What anatomical consideration explains this difference in length?

  • The left renal vein must cross anterior to the aorta to reach the inferior vena cava. (correct)
  • The left kidney is positioned higher than the right kidney.
  • The left renal vein is directly connected to the portal venous system.
  • The right renal vein receives more tributaries than the left renal vein.

A patient presents with a stab wound that penetrates the posterior abdominal wall just below the 12th rib. Considering the anatomical relationships, which of the following structures is MOST likely to be injured?

<p>The upper pole of the right kidney. (A)</p> Signup and view all the answers

After a car accident, a patient's imaging reveals a retroperitoneal hematoma. Which of the following anatomical structures is MOST directly involved with the location of this hematoma?

<p>The kidney. (D)</p> Signup and view all the answers

Flashcards

Kidney Hilum

Central entry/exit point for renal vessels and ureter.

Renal Capsule

Fibrous layer directly covering the kidney, separate from fat.

Renal Artery

Supplies blood to kidneys, branching from the aorta.

Renal Vein

Drains blood from the kidney into the inferior vena cava.

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Adrenal Gland

Sits superior to kidney, separated by fat.

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