Renal pyramids (right kidney)

Pyramides renales

UrinaryOrgansAbdomenRight side

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What it is
Cone-shaped masses of the renal medulla with their bases toward the cortex and their apices (papillae) pointing into the minor calyces at the hilum; their striped look comes from parallel tubules and vessels.
Function
Contain the loops of Henle, vasa recta and collecting ducts that build the medullary salt gradient and concentrate the urine.
Size
8–18 per kidney (8 shown), each about 2.5 cm tall.
Clinical note
Renal papillary necrosis (analgesic abuse, diabetes, sickle-cell disease) kills the papillary tips.