Transverse plane through the kidneys, showing anterior and posterior renal fascia
- The anterior renal fascia, also called Gerota's fascia (after Dimitrie Gerota)
- The posterior renal fascia, also called Zuckerkandl's fascia or fascia retrorenalis
The renal fascia separates the adipose capsule of kidney from the overlying pararenal fat. The deeper layers below the renal fascia are, in order, the adipose capsule (or perirenal fat), the renal capsule and finally the parenchyma of the renal cortex. The spaces about the kidney are typically divided into three compartments: the perinephric space and the anterior and posterior pararenal spaces.
Anterior renal fascia
- Anterior attachment: Passes anterior to the kidney, renal vessels, abdominal aorta and inferior vena cava and fuses with the anterior layer of the renal fascia of the opposite kidney.
- Posterior attachment: Fuses with the psoas fascia and side of the body of the vertebrae.
- Superior attachment: The anterior and posterior layers fuse at the upper pole of the kidney and then split to enclose the adrenal gland. At the upper part of the adrenal gland, they again fuse to form the suspensory ligament of the adrenal gland and fuse with the diaphragmatic fascia.
- Inferior attachment: The layers do not fuse. The posterior layer descends downwards and fuses with the iliac fascia. The anterior layer blends with the connective tissue of the iliac fossa.
In front of the fascia anterior to the perinephric space (also known as Toldt's fascia) is the anterior pararenal space, which contains the pancreas, ascending and descending colon, and second through fourth parts of the duodenum. The fascia posterior to the perinephric space was named Zuckerkandl's fascia. Posterior to this lies the posterior paranephric space which does not contain any abdominal organs.
Posterior renal fascia
Zuckerkandl's fascia or fascia retrorenalis is a fibrous sheath covering the posterior side of the kidney. It constitutes the posterior layer of the renal fascia and was first described by Emil Zuckerkandl in 1883.
This article includes a list of general references, but it remains largely unverified because it lacks sufficient corresponding inline citations. (May 2015) (Learn how and when to remove this template message)
- Netter, Frank H. (2014). Atlas of Human Anatomy Including Student Consult Interactive Ancillaries and Guides (6th ed.). Philadelphia, Penn.: W B Saunders Co. p. 315. ISBN 978-1-4557-0418-7.
- Burkill, G J C.; Healy, J. C. (2000). "Anatomy of the retroperitoneum". Imaging. 12 (1): 10–20. doi:10.1259/img.12.1.120010.
- Chesbrough RM, Burkhard TK, Martinez AJ, Burks DD (1989). "Gerota versus Zuckerkandl: the renal fascia revisited". Radiology. 173 (3): 845–6. doi:10.1148/radiology.173.3.2682777. PMID 2682777.