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Home › Body Atlas › Organs › Collecting Duct
Organ Abdomen

Collecting Duct

ductus colligens

Collecting ducts receive fluid from many nephrons and run down through the medulla to open at the renal papillae. They are the final site where the body decides how much water and salt to keep. Antidiuretic hormone inserts water channels into their walls, and aldosterone increases sodium reabsorption and potassium secretion.

Anatomical Data

Structure & Supply

LocationFrom the cortex through the medullary rays and renal pyramids to the papillary ducts at the renal papillae
Parts
  • Cortical collecting duct
  • Outer medullary collecting duct
  • Inner medullary collecting duct
  • Papillary ducts (of Bellini)
  • Principal cells
  • Intercalated cells
Blood SupplyPeritubular capillaries; Vasa recta
Venous drainage
  • Vasa recta
Biomechanics

Function & Actions

Adjusts the final volume and concentration of urine under antidiuretic hormone and aldosterone, and helps regulate acid-base balance.

Clinical Relevance

Clinical Notes

Failure of the ducts to respond to antidiuretic hormone (nephrogenic diabetes insipidus) leads to large volumes of dilute urine; lithium is a common cause. Potassium-sparing diuretics like spironolactone and amiloride act here. The ducts also secrete acid, so defects cause distal renal tubular acidosis.

Pathology

Common Injuries & Conditions

Nephrogenic Diabetes Insipidus

The collecting ducts ignore antidiuretic hormone, causing thirst and passing large volumes of dilute urine.

Distal Renal Tubular Acidosis

The collecting ducts cannot secrete acid, leading to acidic blood, low potassium and kidney stones.

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