Perirenal space
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At the time the article was created Jeremy Jones had no recorded disclosures.
View Jeremy Jones's current disclosuresAt the time the article was last revised Yuranga Weerakkody had no recorded disclosures.
View Yuranga Weerakkody's current disclosures- Perinephric space
The perirenal space is the largest of the three divisions of the retroperitoneum and is the most easily identified. It contains the kidneys, renal vessels, proximal collecting systems, adrenal glands and an adequate amount of fat to allow identification on CT scanning. It also contains the perinephric bridging septa of Kunin 5.
The space is surrounded by the perirenal fascia and is in continuity with the opposite perirenal space across the midline. It abuts the bare area of the liver on the right and the subphrenic space on the left; there is mediastinal communication via the various diaphragmatic hiatus.
In disease, the space is usually closed inferiorly, preventing pelvic spread.
Related pathology
Lesions that may involve the perirenal space include 4:
- tumor masses
- renal cell carcinoma
- lymphoma
- metastases
- retroperitoneal sarcoma
- abscess
- retroperitoneal hematoma
- urinoma
- lymphangiomatosis - perirenal lymphangiomatosis
- extramedullary hematopoiesis
- retroperitoneal fibrosis
References
- 1. Standring S, Gray H. Gray's anatomy, the anatomical basis of clinical practice. Churchill Livingstone. (2008) ISBN:0443066841. Read it at Google Books - Find it at Amazon
- 2. Schuenke M, Schulte E, Schumacher U et-al. General Anatomy and Musculoskeletal System (THIEME Atlas of Anatomy). Thieme Medical Pub. (2010) ISBN:1604062924. Read it at Google Books - Find it at Amazon
- 3. Gilroy AM, MacPherson BR, Ross LM. Atlas of anatomy. Thieme Medical Pub. (2008) ISBN:160406062X. Read it at Google Books - Find it at Amazon
- 4. Westphalen A, Yeh B, Qayyum A et-al. Differential diagnosis of perinephric masses on CT and MRI. AJR Am J Roentgenol. 2004;183 (6): 1697-702. doi:10.2214/ajr.183.6.01831697 - Pubmed citation
- 5. Kunin M. Bridging septa of the perinephric space: anatomic, pathologic, and diagnostic considerations. (1986) Radiology. 158 (2): 361-5. doi:10.1148/radiology.158.2.3941862 - Pubmed
Incoming Links
- Adrenal gland
- Urinoma
- Renal abscess
- Lateroconal fascia
- Abdominal aortic aneurysm rupture
- Wunderlich syndrome
- Perinephric bridging septa
- Extra-adrenal myelolipoma
- Retroperitoneum
- Perinephric abscess
- Renal fascia
- Great vessel space
- Perinephric stranding
- Erdheim-Chester disease
- Kidneys
- Perirenal cobweb
- Urogenital curriculum
- Retroperitoneal spaces
- Renal artery thrombosis
- Renal cell carcinoma
- Renal cell carcinoma
- Perinephric lymphoma
- Spontaneous subcapsular renal hematoma
- Perirenal/perihilar follicular lymphoma
- B cell lymphoma - perirenal
- Retroperitoneum
- Infected perinephric haematoma
- IVC filter induced perinephric haematoma
- Perinephric abscess pointing into the posterior chest wall
- Perirenal haematoma - post biopsy
- CT guided renal biopsy - post procedure perirenal haematoma
- Emphysematous pyelonephritis
- Urinoma
- Retroperitoneal abscess
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