Page:EB1911 - Volume 27.djvu/823

Rh in the abdominal cavity (floating kidney)-a condition often productive of serious consequences. The kidney in the foetus is lobulated, but the intervals between the lobes become smoothed out in later years of childhood. Each gland is invested the renal artery from the aorta passes. Here also the renal vein escapes and joins the vena cava inferior. The ureter or metanephric duct, always behind and below the blood vessels, emerges here and passes downward to the bladder. When the kidney is longitudinally divided from hilum to outer edge, the cut surface is seen to consist of two parts-an outer layer, the cortex, and an inner part, the medulla (fig. 1). The latter consists of a series of eight to sixteen pyramids, whose bases and sides are invested with cortical matter, and whose apices or papillae project into the hilum, where they are severally surrounded by membranous tubes (calices), which by their union make up the ureter. The part of the ureter itcpated in the hilum is dilated, and is named the pelvis of the 1 ney. In minute structure the kidney is the most complex gland in the body. Each of the papillae consists of a large number of straight tubes—collecting tubules-which open by pores on its surface. When these are traced into the pyramid, they are seen to divide several times, their line end-branches projecting in little tufts into the cortical matter at the base of each pyramid. Here the branches coming from the tube change in structure and become convoluted in the cortex-the convoluted tubules. Next, each suddenly dips back again as a long straight loop-the loop of Henle—into the pyramid, reaching nearly to the papillary region; then turning sharply on itself, passes back straight to the cortex, where it again becomes convoluted, ultimately ending by dilating into a flask-like bulb called a Malpighian corpuscle. The renal artery, after breaking

FIG. I.-Vertical Section through the Kidney. A, branch of renal artery; U, ureter. I, cortical substance with cortical pyramids, and labyrinth substance of tortuous tubes; 2 and 3, medullary pyramids of straight tubules; 4, fatty masses around blood vessels (5); 6, papilla; 7, pelvis.

From A. F. Dixon, Cunninghame T ex!-Bank of Anatomy. FIG. 2.-Diagrammatic Representation of the Structures forming a Kidney Lobe. In the middle part of the figure the course of one of the kidney tubules is indicated, and in the lateral parts the disposition of the larger arteries. A, cortex; B, intermediate zone; C, (papillary portion. The iagram at the right-hand side of the lower part of the figure illustrates the Connexions of the structures composing a Malpighian corpuscle. by a Firm, closely adherent, fibrous capsule, under which is an imperfect lamina of unstriped muscle. The inner and ventral margin of each kidney is concave, and into this hilum or concavity FIG. 3.-Vertical Section through Pelvis, showing urinary bladder and rectum in situ. 1, peritoneum; 2, pubic symphysis; 3, muscular coat of bladder; 5, mucous membrane folded and wrinkled; 6, opening of ureter; 8, prostate; IO, vena dorsalis penis; 12, corpus spongiosum; 14, testis in its sac; 15, bulbocavernosus muscle; I6, bulb; I7, sphincters of the anus; 22, anal opening; 50, coccyx; *, vesicula seminal is. up into branches between the pyramids, ends in minute end-arteries in the cortex. Each of these pierces into one of the flasks just described, and there becomes branched, the branches being collected into a little ball or glomerulus which nearly hlls the flask. From this an efferent vessel escapes, which, joining with its neighbouring vessels of the same kind, makes a close network around the convoluted tubes, ultimately ending in the renal vein. It is supposed that the different constituents of the urine are eliminated in different'parts of these tubes-some, especially the watery parts, in the Hask, and some, especially the more solid constituents, in the convoluted tubular apparatus. A peculiar form of glandular epithelium lines the two convoluted areas of the tubes and the limb of the loop nearer the straight or collecting tubes. The ureter or duct of the kidney begins at the hilum and descends on the back wall of the abdominal cavity to open into the bladder. It is usually about 12 in. in length and as thick as a goose quill. At its termination it passes obliquely through the coats of the bladder, so that when the bladder is distended:sewn the lumen of its end is closed. The urinary bladder is a membranous bag lying in the pelvic cavity directly behind and above the dorsal surface of the pubes. In the foetus and infant, however, the bladder lies in the abdomen, not in the pelvis. During life it is seldom distended so as to hold more than about 10 oz., but when the abdomen is opened it can be dilated to more than double that size. When distended it rises and is applied closely against the back of the ventral abdominal wall. The bladder has a strong muscular investment of unstriped muscle in several layers, which Bladder