

1LVIS 



middle and lateral sacral arteries; they receive lymphatics from the rectum and 

 posterior wall of the pelvis. 



The efferents of the hypogastric group end in the common iliac glands. 



The Lumbar Glands (lymphoglandulce lumbales) are very numerous, and consist 

 of right and left lateral aortic, preaortic, and retroaortic groups. 



The right lateral aortic glands are situated partly in front of the inferior vena 

 cava, near the termination of the renal vein, and partly behind it on the origin of the 

 Psoas major, and on the right crus of the diaphragm. The left lateral aortic 

 glands form a chain on the left side of the abdominal aorta in front of the origin 

 of the Psoas major and left crus of the diaphragm. The glands on either side 

 receive (a) the efferents of the common iliac glands, (6) the lymphatics from the 

 testis in the male and from the ovary, uterine tube, and body of the uterus in the 



Hypogastric 



Oland in front of 

 Sacral promontory 



External iliac 

 glands 



Internal lymphatics of 



bladder 



npha tic from glans 

 penis 



Lymphatics of bladder 



| Hypogastric 



Satellite trunk of 

 internal puden- 



dal vessels. 

 Trunk of middle 



hcemorrhoidal 



Prostatic collecting trunk 

 Urethral collecting trunks 



Glandular nodule in front ofsymphysis Prostatic collecting trunk 



Fio. 612. Iliopelvic glands (lateral view). (Cune'o and Marcille.) 



female; (c) the lymphatics from the kidney and suprarenal gland; and (d) the 

 lymphatics draining the lateral abdominal muscles and accompanying the lumbar 

 veins. Most of the efferent vessels of the lateral aortic glands converge to form 

 the right and left lumbar trunks which join the cisterna chyli, but some enter the 

 pre- and retroaortic glands, and others pierce the crura of the diaphragm to join 

 the lower end of the thoracic duct. The preaortic glands lie in front of the aorta, 

 and may be divided into celiac, superior mesenteric, and inferior mesenteric groups, 

 arranged around the origins of the corresponding arteries. They receive a few 

 vessels from the lateral aortic glands, but their principal afferents are derived from 

 the viscera supplied by the three arteries with which they are associated. Some 

 of their efferents pass to the retroaortic glands, but the majority unite to form 

 the intestinal trunk, which enters the cisterna chyli. The retroaortic glands are placed 

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