VISCEEAL LYMPH GLANDS OF THE ABDOMEN. 



1019 



Those which accompany the branches of the middle haemorrhoidal artery, on each side, pass to 

 the corresponding middle hsemorrhoidal gland of the hypogastric group ; whilst the lymph 

 vessels of the rectum which accompany the branches of the superior haemorrhoidal artery become 

 associated with the ano-rectal, the sacral, and the inferior mesenteric lymph glands. The lymph 

 vessels of the lower part of the anal canal go to the medial proximal subinguinal glands. 



THE LYMPH GLANDS OF THE ABDOMEN. 



The lymph glands of the abdomen are separated into visceral and parietal 

 groups. The visceral groups are those more directly associated with the lymph 

 vessels which issue from the walls of the abdominal part of the alimentary canal, 

 although they may lie posterior to the peritoneum in relation to the posterior wall 

 of the abdomen. The parietal glands lie in relation with the abdominal part 

 of the aorta and the inferior vena cava and the adjacent parts of the posterior 

 abdominal wall. 



Right paracardial gland 

 Posterior left gastric glands^ 

 Anterior left gastric glands v 



Left paracardial glands 



s, Cut edge of greater 

 omentum 



Visceral Lymph Glands of the Abdomen. 



Lymphoglandulae Gastricae. The gastric lymph glands are arranged in two 

 main groups, the lympTioglandulce superior 'es which lie in association with the arteries 

 of the smaller curvature, and the lympTioglandulce inferiores associated with the 

 greater curvature. Jamieson and Dobson have separated the superior gastric 

 glands into several subdivisions. 



Lymphoglandulse Gastricae Superiores. (a) The Anterior Left Gastric Glands (lower 

 coronary glands, J. and D.). The anterior left gastric glands lie between the layers 

 of the lesser omentum 

 along the course of the 

 left gastric artery. They 

 receive afferents from the 

 greater part of the lesser Right supra . pancreatic gland 

 curvature of the stomach Right gastric gland 



and the adjacent parts 

 of its anterior and pos- 

 terior walls, and they 

 send efferents to the pos- 

 terior left gastric glands. 



(6) The Right Para- 

 cardial Glands are essenti- 

 ally members of the 

 anterior left gastric 

 group which lie to the 

 right of the cardiac orifice 

 of the stomach. Their afferents are derived from the cardiac part of the stomach 

 and their efferents go to the posterior left gastric glands. 



(c) The Left Paracardial Glands lie to the left of the oesophageal orifice. They 

 receive afferents from the adjacent parts of the cardiac portion of the stomach, and 

 their efferents end in the posterior left gastric glands. 



(d) The Posterior Paracardial Glands lie on the posterior aspect of the stomach, 

 between the layers of the gastro-phrenic ligament. Their afferents are from the 

 neighbouring parts of the cardia and their efferents go to the posterior left gastric 

 glands. 



(e) The Posterior Left Gastric Glands (upper coronary, J. and D.) lie around the 

 left gastric artery as it passes forwards through the left gastro-pancreatic fold of 

 peritoneum. They receive afferents from the previously mentioned groups of gastric 

 glands and direct afferents from the cardiac portion of the stomach. Their efferents 

 pass to the middle supra-pancreatic glands of Jamieson and Dobson (cceliac 

 glands, B.N.A.). 



(/) The Right Gastric Gland (pyloric of J. and D.) is a small gland, occasionally 

 present, which lies immediately above the pylorus or the first part of the duodenum, 



Sub-pyloric 

 glands 



Right gastro-epiploic glands- 



FIG. 815. LYMPH VESSELS AND GLANDS OP THE STOMACH. 

 (After Jamieson and Dobson, modified.) 



