688 



THE LYMPHATICS 



crural arch. They communicate below with the deep inguinal lymphatic glands, 

 and above with the lumbar glands. 



The internal iliac glands surround the internal iliac vessels ; they receive the 

 lymphatic vessels corresponding to the branches of the internal iliac artery, and 

 communicate with the lumbar glands. 



The sacral glands occupy the sides of the anterior surface of the sacrum, some 



Lumbar 

 glands. 



Sacral glands. 



Internal 



W iliac glands, 



External 

 iliac glands 



Deep 

 inguinal 

 glands. 



FIG. 399. The deep lymphatic vessels and glands of the abdomen and pelvis. 



being situated in the meso-rectal fold. These and the internal iliac glands are 

 affected in malignant disease of the bladder, rectum, or uterus. 



The lumbar glands are very numerous ; they are situated on the front of the 

 lumbar vertebrae, surrounding the common iliac vessels, the aorta, and vena cava ; 

 they receive the lymphatic vessels from the lower extremities and pelvis, as well as 

 from the testes and some of the abdominal viscera : the efferent vessels from these 

 glands unite into a few large trunks, which, with the lacteals, form the commence- 



