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iliohypogastric nerve - posterior abdominal wall
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A kidney biopsy is commonly taken through the posterior abdominal wall. Biopsy of the lower half entails some risk to the subcostal, iliohypogastric, and ilioinguinal nerves. To biopsy the upper half of the kidney, the needle should be inserted below the T12 vertebral level obliquely upward to pierce the quadratus lumborum and diaphragm below the inferior extent of the pleural cavity.
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