File:Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women (1922) (14579355767).jpg

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Identifier: diseasesofkidney01kell (find matches)
Title: Diseases of the kidneys, ureters and bladder, with special reference to the diseases of women
Year: 1922 (1920s)
Authors: Kelly, Howard A. (Howard Atwood), 1858-1943 Brödel, Max, 1870-1941 Burnam, Curtis Field, 1877-
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Publisher: New York, London : D. Appleton and company

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tuation is dorsal, owing to the rotationof the kidney around its long axis, occurring between the sixth and ninthweeks of the embryonic stage. It has been shown that this rotation is thecause of the preponderance of the anterior vascular system and the posteriorposition of the pelvis. There is marked lobulation, the lobes varying from 8 to 26, the most fre-quent number being 12 to 14. However, on the surface of quite a number ofkidneys at term there is hardly any division into lobes visible. In spite ofthe smooth surface, however, there may be very deep cortical columns and asa consequence marked branching of the pelvis, narrow calices, etc. On examination of the surfaces of many kidneys follow^ed by studies of 120 EMBRYOLOGY OF THE UROGENITAL APPARATUS. their pelves, it becomes evident that there is no definite reliable relationship tobe made out between the two. We find many branched, as well as many simple,pelves associated with both smooth and lobulated kidneys. Likewise, there is
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Fig. 84.—The Renal Pelvis in the Adult, X 3^. Under eachfigure are given sex and age of individual. (After Hauch.) DEVELOPMENT OF THE PERMANENT KIDNEY. 121 no certain connection between ai^e and snrface lobulation, for we often observestrongly lobulated kidneys in old individuals and smooth kidneys in infants.However, one fact deserves to be mentioned; i. e., that abnormal blood supplyis in the majority of cases associated with abnormal divisions of the ureteral4ree or abnormal position of the pelvis. The position and division of the ureterare established before any vessels invade the kidney and, if there be any ir-

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