Retroperitoneum Flashcards

1
Q

Why do you want something to be retroperitoneum?

A
  • want organs to be kept in place such as liver and kidney due to veins/arteries running through and want them to remain vertical
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2
Q

Where is the retroperitoneum located?

A
  • sub-region of abdomen that lies posterior to peritoneal cavity
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3
Q

What is the contents of the retroperitoneum?

A
  • retroperitoneal structures

- extraperitoneal fat

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4
Q

What are the retroperitoneal structures?

A
  • duodenum
  • pancreas
  • ascending colon
  • descending colon
  • kidneys and ureters
  • suprarenal glands
  • fat, fascia and fascial space
  • aorta and IVC
  • nervous tissue and structures
  • lymphatics
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5
Q

What is the vertebral level of the left kidney?

A
  • T12 to L2
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6
Q

What is the vertebral level of the right kidney?

A
  • L1 to L3
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7
Q

Where do the kidneys lie?

A
  • in paravertebral gutters
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8
Q

What sits between the kidneys and the paravertebral gutters?

A
  • perirenal fat
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9
Q

Where does the superior pole of the kidney sit in relation to the inferior pole?

A
  • the superior is pole is more medial
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10
Q

What is the advantage of the inferior pole of the kidney sitting more lateral?

A
  • it allows for the ureters to come straight out of the kidney and follow the psoas major
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11
Q

What are the internal structures of the kidneys?

A
  • renal hilum
  • renal sinus
  • renal pelvis
  • major calyces
  • minor calyces
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12
Q

What is the renal pedicle?

A
  • all the structures that pass through the hilum
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13
Q

What is the contents of the renal pedicle?

A
  • ureter
  • renal artery
  • renal vein
  • nerves
  • lymphatics
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14
Q

What are the posterior relations of the kidneys?

A
  • thoracic diaphragm
  • transversus abdominis
  • quadratus lumborum
  • psoas major
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15
Q

What is the diameter of abdominal ureter?

A

3-5 mm

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16
Q

What is the length of the abdominal ureter?

A

12 cm

17
Q

Where does the abdominal ureter become the pelvic ureter?

A
  • once is crosses the pelvic brim
18
Q

What are 3 main constrictions of the abdominal ureters?

A
  • ureteropelvic junction
  • common iliac vessels
  • pelvic brim
19
Q

What are the 4 main variations of ureters?

A
  • duplex/double pelvis
  • bifid ureter
  • duplex/double ureter
  • ectopic ureter
20
Q

What are the three main anterior aorta branches?

A
  • coeliac artery
  • superior mesenteric artery
  • inferior mesenteric artery
21
Q

What are the three main lateral branches of the aorta?

A
  • renal arteries
  • middle suprarenal arteries
  • testicular/ovarian arteries
22
Q

What are the two main posterior branches of the aorta?

A
  • lumbar arteries

- median sacral artery

23
Q

What are the tributies of the inferior vena cava

A
  • Left and right common iliac veins
  • 3rd and 4th lumbar veins
  • testicular/ovarian veins
  • Left and right renal arteries
  • azygos vein
  • right suprarenal vein
  • right, middle and left hepatic veins
24
Q

What vertebral level is the anterior rami of spinal nerve?

A
  • L1 to L4
25
Q

What nerves comes of the lumbar plexuses?

A
  • femoral and obturator