Kidneys, suprarenal glands and posterior abdominal vessels, nerves and muscles

Diaphragm and lumbocostal arches on right side

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Image #150-6

Kidneys, suprarenal glands and posterior abdominal vessels, nerves and muscles

Diaphragm and lumbocostal arches on right side

The right kidney and its adipose capsule have been removed. The posterior layer of renal fascia has been partially retained. although its upper part has been resected to expose the lumbocostal arches of the diaphragm.

1. Inferior vena cava (cut off)
2. Right inferior phrenic vein
3. Central tendon of diaphragm
4. Diaphragm (note in area medial to pointer that some muscle and tendinous fibers form a separate, obliquely placed layer)
5. Lateral lumbocostal arch
6. Area of attachment of lumbocostal arches to transverse process of first lumbar vertebra
7. Medial lumbocostal arch
8. Rib XII (pointer on attachment of lateral lumbocostal arch)
9. Upper pointer: Sympathetic trunk (pointer on ganglion) Lower pointer: Lumbar vein (cut off at entry into inferior vena cava; note ascending lumbar vein extending upward through diaphragm)
10. Renal fascia (posterior lamina, partially removed)
11. Transversalis fascia
12. Psoas major muscle (covered by fascia)
13. Esophagus (cut off)
14. Plexus of nerves derived from phrenic nerve and celiac plexus
15. Esophageal hiatus
16. Left inferior phrenic artery
17. Right inferior phrenic artery
18. Communicating filaments between celiac plexus and phrenic nerve
19. Celiac branch of vagus nerve
20. Celiac trunk
21. Celiac ganglion
22. Abdominal aorta (divided)
23. Right crus of diaphragm
24. Lumbar lymph node (lateral aortic node)