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Bochdalek's Triangle
The lumbocostal triangle (also Bochdalek's foramen, Bochdalek's triangle) is a space between the costal and lumbar parts of the diaphragm. The base of this triangular space is formed by muscle attachments originating from the XII rib and muscle fibers attaching to the lateral arcuate ligament. The apex of the triangle is oriented towards the tendinous centre of the diaphragm. Parietal pleura and renal capsule are in contact in this space, so possible infection can be transmitted through this space. Clinical significance The existence of this foramen might cause a congenital diaphragmatic hernia, Bochdalek hernia Bochdalek hernia is one of two forms of a congenital diaphragmatic hernia, the other form being Morgagni hernia. A Bochdalek hernia is a congenital abnormality in which an opening exists in the infant's diaphragm, allowing normally intra-abdomina .... This condition has also been associated with thoracic kidney, the presence of the kidney in the thorax instead of the us ...
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Lateral Arcuate Ligament
The lateral arcuate ligament (also lateral lumbocostal arch and external arcuate ligament) is a ligament under the diaphragm that arches across the upper part of the quadratus lumborum muscle. It is traversed by the subcostal nerve, artery and vein. Structure The lateral arcuate ligament runs from the front of the transverse process of the first lumbar vertebra, and, laterally, to the tip and lower margin of the twelfth rib. It forms an arch over the quadratus lumborum muscle. Variations The lateral arcuate ligament is commonly described in anatomy textbooks as attaching at the first lumbar vertebra (L1). However, other instances have been found in cadaver studies with attachments at either the second (L2) or third (L3) lumbar vertebra. In around 5% of people, inferolateral extensions of the lateral arcuate ligaments, such as thickened nodular areas, are found adjacent to the lateral diaphragmatic surface which can be visualized with computed tomography (CT) scans. History The l ...
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Parietal Pleura
The pulmonary pleurae (''sing.'' pleura) are the two opposing layers of serous membrane overlying the lungs and the inside of the surrounding chest walls. The inner pleura, called the visceral pleura, covers the surface of each lung and dips between the lobes of the lung as ''fissures'', and is formed by the invagination of lung buds into each thoracic sac during embryonic development. The outer layer, called the parietal pleura, lines the inner surfaces of the thoracic cavity on each side of the mediastinum, and can be subdivided into ''mediastinal'' (covering the side surfaces of the fibrous pericardium, oesophagus and thoracic aorta), ''diaphragmatic'' (covering the upper surface of the diaphragm), ''costal'' (covering the inside of rib cage) and cervical (covering the underside of the suprapleural membrane) pleurae. The visceral and the mediastinal parietal pleurae are connected at the root of the lung ("hilum") through a smooth fold known as ''pleural reflections'', and ...
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Renal Capsule
The renal capsule is a tough fibrous layer surrounding the kidney and covered in a layer of perirenal fat known as the adipose capsule of kidney. The adipose capsule is sometimes included in the structure of the renal capsule. It provides some protection from trauma and damage. The renal capsule is surrounded by the renal fascia. Overlying the renal fascia and between this and the transverse fascia is a region of pararenal fat. Structure The renal capsule surrounds the functional tissue of the kidney, and is itself surrounded by a fatty adipose capsule, fascia, and fat. From the inner part of the kidney to outside the kidney, the positioning of the capsule is: # renal medulla # renal cortex # renal capsule # adipose capsule of kidney (or perirenal fat, or perinephric fat) # renal fascia # pararenal fat # peritoneum (anteriorly), and transverse fascia (posteriorly). Sometimes the adipose capsule of the kidney also known as the perirenal fat, is regarded as a part of the renal ...
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Congenital Diaphragmatic Hernia
Congenital diaphragmatic hernia (CDH) is a birth defect of the diaphragm. The most common type of CDH is a Bochdalek hernia; other types include Morgagni hernia, diaphragm eventration and central tendon defects of the diaphragm. Malformation of the diaphragm allows the abdominal organs to push into the chest cavity, hindering proper lung formation. CDH is a life-threatening pathology in infants and a major cause of death due to two complications: pulmonary hypoplasia and pulmonary hypertension. Experts disagree on the relative importance of these two conditions, with some focusing on hypoplasia, others on hypertension. Newborns with CDH often have severe respiratory distress which can be life-threatening unless treated appropriately. Classification Bochdalek hernia The Bochdalek hernia, also known as a postero-lateral diaphragmatic hernia, is the most common manifestation of CDH, accounting for more than 95% of cases. In this instance the diaphragm abnormality is character ...
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Bochdalek Hernia
Bochdalek hernia is one of two forms of a congenital diaphragmatic hernia, the other form being Morgagni hernia. A Bochdalek hernia is a congenital abnormality in which an opening exists in the infant's diaphragm, allowing normally intra-abdominal organs (particularly the stomach and intestines) to enter into the thoracic cavity. In the majority of people, the affected lung will be deformed, and the resulting lung compression can be life-threatening. Bochdalek hernias occur more commonly on the posterior left side (85%, versus right side 15%). Bochdalek hernias are rare. This type of hernia was first described in 1754 by McCauley and subsequently studied and named after the Czech pathologist Vincenz Alexander Bochdalek (1801–1883). Signs and symptoms Children In normal Bochdalek hernia cases, the symptoms are often observable simultaneously with the baby's birth. A few of the symptoms of a Bochdalek Hernia include difficulty breathing, fast respiration and increased heart rat ...
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