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Retroperitoneal Anatomy and Structures
1.
2. Retroperitoneal space:
between the peritoneum and the posterior
parietal wall of the abdominal cavity
from the diaphragm to the pelvic floor
3. Superiorly- 12th thoracic vertebra, lateral
lumbocostal arch and diaphragm
Inferiorly- base of the sacrum, iliac crest,
and iliolumbar ligament, pelvic levator
muscles.
Anteriorly- posterior parietal peritoneum
Posteriorly- fascia overlying the quadratus
lumborum and the psoas major muscles,
vertebral column, tendinous portion of
tranverse abdominis.
4.
5. Urinary: adrenal glands
kidneys
ureter
Cirulatory: abdominal aorta
inferior vena cava
Digestive: oesophagus (thoracic part)
rectum (part of middle third and
lower third)
pancreas(head, neck and body)
duodenum (except the first part)
ascending and descending colon
7. It is divided into three spaces by the
anterior renal fascia (Gerotas’s) and
posterior renal fascia (Zuckerkandl) fascia
The three spaces are:
Anterior pararenal space
Perirenal space
Posterior pararenal space
8.
9.
10.
11. Superior – to bare area of liver and is
contiguous with the mediastinum
Medial – at the level of renal hilum
Lateral – Anterior renal fascia and posterior
renal fascia fuse to form lateral conal plane
Inferior – ARF and PRF fuse around 8cm
below kidney