SlideShare a Scribd company logo
1
PRESENTED BY : DR SURAJ KC
12/20/2018
212/20/2018
ADRENAL GLAND
Gross Histology
312/20/2018
LOCATION
• Lies in epigastrium, at upper pole of kidney
• Between superomedial aspect of kidneys &
diaphragm
• Opposite the vertebral end of 11th ICS & 12th rib
412/20/2018
DIMENSIONS
Length : 5cm
Breadth : 3cm
Thickness : 1cm
Weight : 5 gms
Size:1/3 of kidney
at birth
: 1/30 of kidney
at adult
512/20/2018
Right adrenal gland
• Shape: Pyramidal
• Apex & Base
• Medial & Lateral Border
• Anterior & Posterior
Surfaces
Left adrenal gland
•Semilunar
•Upper &Lower end
•Medial & Lateral Border
•Anterior and Posterior
Surfaces
612/20/2018
Coverings
• True capsule
• False capsule : renal fascia
Separated from kidney by
thin septa
Suspended by suspensory
ligament of diaphragm
712/20/2018
RELATIONS
RIGHT SUPRARENAL
GLAND
LEFT SUPRARENAL GLAND
Parts and relations Apex: bare area of liver
Base: upper pole of right
kidney
Upper end: close to spleen
Lower end : presents
hilum, left vein emerges
Anterior surface IVC , bare area o f liver Cardiac end of stomach,
pancreas with spleenic
artery
Posterior surface Right crus of diaphragm, rt
kidney
left crus of diaphragm, left
kidney
Anterior border Presents hilum, right vein
emerges
Medial border Coeliac ganglion Coeliac ganglion
Lateral border liver stomach
812/20/2018
912/20/2018
BLOOD SUPPLY
Arterial supply :
 Superior suprarenal artery
(Branch of inferior phrenic)
 Middle suprarenal artery
(Branch of abdominal aorta)
 Inferior suprarenalartery
(Branch of renal artery)
1012/20/2018
Venous Drainage
11
 Right suprarenal drains
directly into Inferior venacava
 Left supra renal drains
into left renal vein
12/20/2018
Lymphatic drainage
• Lymphatic from the suprarenal glands drain
into the lateral aortic nodes
1212/20/2018
Nerve Supply
Pre ganglionic ganglia donot
synapse at sympathatic ganglia
Directly go to the gland
Synapse at ganglia at cortex and
medulla
1312/20/2018
HISTOLOGY
Supra Renal gland has 2 parts :
Supra renal cortex
Supra renal medulla
1412/20/2018
Supra renal cortex
 Lightly stained
 Derived from mesoderm
 90% of gland by weight
 Secretes corticosteroids & androgen
1512/20/2018
Histo cortex
Cortex can be further divided into
 Zona glomerulosa :
 Basophillic cells
 Inverted U shaped arranged
 Secretes mineralocorticoids
1612/20/2018
Zona fasciculata:
 Basophilic cytoplasm
 Cells arranged to form column
 Sinusoids present between column
 Secretes glucocorticoids
1712/20/2018
Zona reticularis
 Polyhedral cells
 Eosinophilic cytoplasm
 Branching & anastomose pattern
 Secretes androgens
1812/20/2018
Supra renal medulla
• Darkly stained
• Derived from neural crest
• 10% of gland by weight
• Secretes catecholamines
12/20/2018 19
Adrenal medulla
 Group of columnar cells
 Seperated by sinusoids
 Basophilic cytoplasm
 Orange granules in cytosol
 Presence of chromaffin cell
2012/20/2018
HISTOLOGY AT GLANCE
2112/20/2018
Applied Anatomy
• Cortical Disorders
Cushings Syndrome
Congenital adrenal hyperplasia
Addison’s Disease
• Medullary Disorders
Pheochromocytoma
Neuroblastoma
2212/20/2018
REFERENCE
• BD CHAURASIA TEXT BOOK OF ANATOMY
• SNELLS ANATOMY
12/20/2018 23
2412/20/2018
2512/20/2018

More Related Content

What's hot

Embryology of pineal and adrenal gland by Zachariah Richard
Embryology of pineal and adrenal gland by Zachariah RichardEmbryology of pineal and adrenal gland by Zachariah Richard
Embryology of pineal and adrenal gland by Zachariah Richard
Ahmadu Bello University, Zaria, Nigeria.
 
Anatomy of pituitary gland
Anatomy of pituitary glandAnatomy of pituitary gland
Anatomy of pituitary gland
Murad Alshehry
 
Embryology alimentary system 2
Embryology   alimentary system 2Embryology   alimentary system 2
Embryology alimentary system 2
MBBS IMS MSU
 
Portal vein & portocaval anastomosis
Portal vein & portocaval anastomosis Portal vein & portocaval anastomosis
Portal vein & portocaval anastomosis
Dr Mohammad Amaan
 
Pituitary gland- Anatomy, histology and embryology
Pituitary gland- Anatomy, histology and embryologyPituitary gland- Anatomy, histology and embryology
Pituitary gland- Anatomy, histology and embryology
Dr Laxman Khanal
 
Histology of liver ppt
Histology of liver pptHistology of liver ppt
Histology of liver ppt
Dr Sandeep k Sharma
 
thoracic duct
thoracic ductthoracic duct
histology of male reproductive histology ppt
histology of  male reproductive histology ppthistology of  male reproductive histology ppt
histology of male reproductive histology ppt
Muhammad Amir Sohail
 
portacaval anastomosis
portacaval anastomosisportacaval anastomosis
portacaval anastomosis
meducationdotnet
 
Anatomy of Pineal Gland
Anatomy of Pineal GlandAnatomy of Pineal Gland
Anatomy of Pineal Gland
PGINeurosurgery
 
Development of urinary system
Development of urinary systemDevelopment of urinary system
Development of urinary system
Mohamed El Fiky
 
Anatomy of the adrenal gland
Anatomy of the adrenal glandAnatomy of the adrenal gland
The jejunum and ileum
The jejunum and ileumThe jejunum and ileum
The jejunum and ileum
Idris Siddiqui
 
Thoracic duct
Thoracic ductThoracic duct
Thoracic duct
Idris Siddiqui
 
Anatomy of Pelvis & Perineum
Anatomy of Pelvis & PerineumAnatomy of Pelvis & Perineum
Anatomy of Pelvis & Perineum
profgoodnewszion
 
anatomy of spleen
anatomy of spleenanatomy of spleen
anatomy of spleen
dr.supriti verma bhatnagar
 
Adrenal gland endocrine-
Adrenal gland endocrine-Adrenal gland endocrine-
Adrenal gland endocrine-
Marami Mustapa
 
RENAL PHYSIOLOGY REVISION NOTES
RENAL PHYSIOLOGY REVISION NOTESRENAL PHYSIOLOGY REVISION NOTES
RENAL PHYSIOLOGY REVISION NOTES
TONY SCARIA
 
Thoracic wall l4 dr kandil
Thoracic wall  l4 dr kandilThoracic wall  l4 dr kandil
Thoracic wall l4 dr kandil
mostafa soliman
 
Histology of the Liver-
Histology of the Liver- Histology of the Liver-
Histology of the Liver-
Trishna Kisiju
 

What's hot (20)

Embryology of pineal and adrenal gland by Zachariah Richard
Embryology of pineal and adrenal gland by Zachariah RichardEmbryology of pineal and adrenal gland by Zachariah Richard
Embryology of pineal and adrenal gland by Zachariah Richard
 
Anatomy of pituitary gland
Anatomy of pituitary glandAnatomy of pituitary gland
Anatomy of pituitary gland
 
Embryology alimentary system 2
Embryology   alimentary system 2Embryology   alimentary system 2
Embryology alimentary system 2
 
Portal vein & portocaval anastomosis
Portal vein & portocaval anastomosis Portal vein & portocaval anastomosis
Portal vein & portocaval anastomosis
 
Pituitary gland- Anatomy, histology and embryology
Pituitary gland- Anatomy, histology and embryologyPituitary gland- Anatomy, histology and embryology
Pituitary gland- Anatomy, histology and embryology
 
Histology of liver ppt
Histology of liver pptHistology of liver ppt
Histology of liver ppt
 
thoracic duct
thoracic ductthoracic duct
thoracic duct
 
histology of male reproductive histology ppt
histology of  male reproductive histology ppthistology of  male reproductive histology ppt
histology of male reproductive histology ppt
 
portacaval anastomosis
portacaval anastomosisportacaval anastomosis
portacaval anastomosis
 
Anatomy of Pineal Gland
Anatomy of Pineal GlandAnatomy of Pineal Gland
Anatomy of Pineal Gland
 
Development of urinary system
Development of urinary systemDevelopment of urinary system
Development of urinary system
 
Anatomy of the adrenal gland
Anatomy of the adrenal glandAnatomy of the adrenal gland
Anatomy of the adrenal gland
 
The jejunum and ileum
The jejunum and ileumThe jejunum and ileum
The jejunum and ileum
 
Thoracic duct
Thoracic ductThoracic duct
Thoracic duct
 
Anatomy of Pelvis & Perineum
Anatomy of Pelvis & PerineumAnatomy of Pelvis & Perineum
Anatomy of Pelvis & Perineum
 
anatomy of spleen
anatomy of spleenanatomy of spleen
anatomy of spleen
 
Adrenal gland endocrine-
Adrenal gland endocrine-Adrenal gland endocrine-
Adrenal gland endocrine-
 
RENAL PHYSIOLOGY REVISION NOTES
RENAL PHYSIOLOGY REVISION NOTESRENAL PHYSIOLOGY REVISION NOTES
RENAL PHYSIOLOGY REVISION NOTES
 
Thoracic wall l4 dr kandil
Thoracic wall  l4 dr kandilThoracic wall  l4 dr kandil
Thoracic wall l4 dr kandil
 
Histology of the Liver-
Histology of the Liver- Histology of the Liver-
Histology of the Liver-
 

Recently uploaded

Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
amberjdewit93
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
adhitya5119
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
Nicholas Montgomery
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
AyyanKhan40
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
ak6969907
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
Dr. Mulla Adam Ali
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
PECB
 
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxChapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
Colégio Santa Teresinha
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
Celine George
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
eBook.com.bd (প্রয়োজনীয় বাংলা বই)
 
Smart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICTSmart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICT
simonomuemu
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
chanes7
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
WaniBasim
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Akanksha trivedi rama nursing college kanpur.
 
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPLAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
RAHUL
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
History of Stoke Newington
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
Priyankaranawat4
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
Celine George
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
Celine George
 

Recently uploaded (20)

Digital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental DesignDigital Artefact 1 - Tiny Home Environmental Design
Digital Artefact 1 - Tiny Home Environmental Design
 
Advanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docxAdvanced Java[Extra Concepts, Not Difficult].docx
Advanced Java[Extra Concepts, Not Difficult].docx
 
Film vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movieFilm vocab for eal 3 students: Australia the movie
Film vocab for eal 3 students: Australia the movie
 
PIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf IslamabadPIMS Job Advertisement 2024.pdf Islamabad
PIMS Job Advertisement 2024.pdf Islamabad
 
World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024World environment day ppt For 5 June 2024
World environment day ppt For 5 June 2024
 
Hindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdfHindi varnamala | hindi alphabet PPT.pdf
Hindi varnamala | hindi alphabet PPT.pdf
 
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...
 
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptxChapter 4 - Islamic Financial Institutions in Malaysia.pptx
Chapter 4 - Islamic Financial Institutions in Malaysia.pptx
 
MARY JANE WILSON, A “BOA MÃE” .
MARY JANE WILSON, A “BOA MÃE”           .MARY JANE WILSON, A “BOA MÃE”           .
MARY JANE WILSON, A “BOA MÃE” .
 
How to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold MethodHow to Build a Module in Odoo 17 Using the Scaffold Method
How to Build a Module in Odoo 17 Using the Scaffold Method
 
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdfবাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
বাংলাদেশ অর্থনৈতিক সমীক্ষা (Economic Review) ২০২৪ UJS App.pdf
 
Smart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICTSmart-Money for SMC traders good time and ICT
Smart-Money for SMC traders good time and ICT
 
Digital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments UnitDigital Artifact 1 - 10VCD Environments Unit
Digital Artifact 1 - 10VCD Environments Unit
 
Liberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdfLiberal Approach to the Study of Indian Politics.pdf
Liberal Approach to the Study of Indian Politics.pdf
 
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama UniversityNatural birth techniques - Mrs.Akanksha Trivedi Rama University
Natural birth techniques - Mrs.Akanksha Trivedi Rama University
 
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPLAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
 
The History of Stoke Newington Street Names
The History of Stoke Newington Street NamesThe History of Stoke Newington Street Names
The History of Stoke Newington Street Names
 
clinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdfclinical examination of hip joint (1).pdf
clinical examination of hip joint (1).pdf
 
How to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRMHow to Manage Your Lost Opportunities in Odoo 17 CRM
How to Manage Your Lost Opportunities in Odoo 17 CRM
 
How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17How to Make a Field Mandatory in Odoo 17
How to Make a Field Mandatory in Odoo 17
 

Adrenal gland Anatomy and histology

  • 1. 1 PRESENTED BY : DR SURAJ KC 12/20/2018
  • 4. LOCATION • Lies in epigastrium, at upper pole of kidney • Between superomedial aspect of kidneys & diaphragm • Opposite the vertebral end of 11th ICS & 12th rib 412/20/2018
  • 5. DIMENSIONS Length : 5cm Breadth : 3cm Thickness : 1cm Weight : 5 gms Size:1/3 of kidney at birth : 1/30 of kidney at adult 512/20/2018
  • 6. Right adrenal gland • Shape: Pyramidal • Apex & Base • Medial & Lateral Border • Anterior & Posterior Surfaces Left adrenal gland •Semilunar •Upper &Lower end •Medial & Lateral Border •Anterior and Posterior Surfaces 612/20/2018
  • 7. Coverings • True capsule • False capsule : renal fascia Separated from kidney by thin septa Suspended by suspensory ligament of diaphragm 712/20/2018
  • 8. RELATIONS RIGHT SUPRARENAL GLAND LEFT SUPRARENAL GLAND Parts and relations Apex: bare area of liver Base: upper pole of right kidney Upper end: close to spleen Lower end : presents hilum, left vein emerges Anterior surface IVC , bare area o f liver Cardiac end of stomach, pancreas with spleenic artery Posterior surface Right crus of diaphragm, rt kidney left crus of diaphragm, left kidney Anterior border Presents hilum, right vein emerges Medial border Coeliac ganglion Coeliac ganglion Lateral border liver stomach 812/20/2018
  • 10. BLOOD SUPPLY Arterial supply :  Superior suprarenal artery (Branch of inferior phrenic)  Middle suprarenal artery (Branch of abdominal aorta)  Inferior suprarenalartery (Branch of renal artery) 1012/20/2018
  • 11. Venous Drainage 11  Right suprarenal drains directly into Inferior venacava  Left supra renal drains into left renal vein 12/20/2018
  • 12. Lymphatic drainage • Lymphatic from the suprarenal glands drain into the lateral aortic nodes 1212/20/2018
  • 13. Nerve Supply Pre ganglionic ganglia donot synapse at sympathatic ganglia Directly go to the gland Synapse at ganglia at cortex and medulla 1312/20/2018
  • 14. HISTOLOGY Supra Renal gland has 2 parts : Supra renal cortex Supra renal medulla 1412/20/2018
  • 15. Supra renal cortex  Lightly stained  Derived from mesoderm  90% of gland by weight  Secretes corticosteroids & androgen 1512/20/2018
  • 16. Histo cortex Cortex can be further divided into  Zona glomerulosa :  Basophillic cells  Inverted U shaped arranged  Secretes mineralocorticoids 1612/20/2018
  • 17. Zona fasciculata:  Basophilic cytoplasm  Cells arranged to form column  Sinusoids present between column  Secretes glucocorticoids 1712/20/2018
  • 18. Zona reticularis  Polyhedral cells  Eosinophilic cytoplasm  Branching & anastomose pattern  Secretes androgens 1812/20/2018
  • 19. Supra renal medulla • Darkly stained • Derived from neural crest • 10% of gland by weight • Secretes catecholamines 12/20/2018 19
  • 20. Adrenal medulla  Group of columnar cells  Seperated by sinusoids  Basophilic cytoplasm  Orange granules in cytosol  Presence of chromaffin cell 2012/20/2018
  • 22. Applied Anatomy • Cortical Disorders Cushings Syndrome Congenital adrenal hyperplasia Addison’s Disease • Medullary Disorders Pheochromocytoma Neuroblastoma 2212/20/2018
  • 23. REFERENCE • BD CHAURASIA TEXT BOOK OF ANATOMY • SNELLS ANATOMY 12/20/2018 23