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SUPRARENAL (ADRENAL) GLAND Inferior phrenic arteries Pancreas Lelt crus of Inferior vena Right lebe of liver Superior suprarenal arteres diaphragm cava Right suprarenal gland Left suprarenal gland Left kidney Inferior suprarenal artery Inferior vena cava Right kidney Middle suprarenal artery Abdominal aorta Fig. 72.3 Arterial supply and venous drainage of the suprarenal glands. (From Drake, Vogl and Mitchell 2005.) pass around clustered glomerulosal cells and between columns in the zona fasciculata to a deep plexus in the zona reticularis. Venules from this plexus pass between medullary chromaffin cells to medullary veins, which they enter between prominent bundles of smooth muscle fibres. Some relatively large arteries bypass this indirect route and pass directly to the medulla (Fig. 72.4). At operation the arteries are rarely obvious but the veins deserve specific attention (see below). Superior suprarenal arteries The superior suprarenal artery arises from the inferior phrenic artery, a branch of the abdominal aorta: it is often small and may be absent. Middle suprarenal arteries The middle suprarenal artery arises from the lateral aspect of the abdominal aorta at the level of the superior mesenteric artery. It ascends slightly and runs over the crura of the diaphragm to the suprarenal glands, where it anastomoses with the suprarenal branches of the infe-

This kiwi looks like a kidney. | r/mildlyinteresting


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Uploaded Jul 29, 2019 at 06:06PM EDT

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