Page 702 - Atlas of Histology with Functional Correlations
P. 702

long  loops  of  Henle  that  contain  the  urinary  filtrate.  The  interstitium  around

               these  tubules  and  blood  vessels  is  drained  by  interlobular  veins  that  continue
               toward the arcuate veins.


                                Supplemental       micrographic       images     are    available     at
                 www.thePoint.com/Eroschenko13e under Urinary System.



               FIGURE  18.3  |  Kidney:  Cortex,  Medulla,

               Pyramid,  Renal  Papilla,  and  Minor  Calyx

               (Panoramic View)




               In this sagittal section, the kidney exhibits an outer darker-staining cortex and an
               inner  lighter-staining  medulla.  Externally,  the  cortex  is  covered  with  a  dense
               irregular connective tissue renal capsule (1).

                   The cortex contains both distal and proximal convoluted tubules (4, 11),

               glomeruli  (2),  and  medullary  rays  (3).  Present  also  in  the  cortex  are  the
               interlobular arteries (12) and interlobular veins (13). The medullary rays (3)
               are  formed  by  the  straight  portions  of  nephrons,  blood  vessels,  and  collecting
               tubules  that  join  in  the  medulla  to  form  the  larger  collecting  ducts  (6).  The

               medullary  rays  do  not  extend  to  the  kidney  capsule  (1)  because  of  the
               subcapsular convoluted tubules (10).

                   The medulla comprises the renal pyramids. The base of each pyramid (5) is
               adjacent  to  the  cortex,  and  its  apex  forms  the  pointed  renal  papilla  (7)  that

               projects into the surrounding funnel-like structure, the minor calyx (16), which
               represents the dilated portion of the ureter. The area cribrosa (9) is pierced by
               small  holes,  which  represent  the  openings  of  the  collecting  ducts  (6)  into  the
               minor calyx (16).

                   The tip of the renal papilla (7) is usually covered with a simple columnar

               epithelium (8). As the columnar epithelium of the renal papilla (7) extends onto
               the  outer  wall  of  the  minor  calyx  (16),  it  becomes  a  transitional epithelium
               (16). A thin layer of connective tissue and smooth muscle (not illustrated) under
               this epithelium then merges with the connective tissue of the renal sinus (15).


                   Present in the renal sinus (15) are branches of the renal artery and vein called
               the interlobar artery (17) and the interlobar vein (18). The interlobar vessels
               (17,  18)  enter  the  kidney  and  arch  over  the  base  of  the  pyramid  (5)  at  the
               corticomedullary  junction  as  the  arcuate  artery  and  vein  (14).  The  arcuate



                                                          701
   697   698   699   700   701   702   703   704   705   706   707