LYMPHATICS OF ABDOMEN AM) PELVIS 



663 



lymphatics of the stomach; (2) the intestines; (3) the liver; (4) tlie sj^leen; 

 (5) the pancreas; (6) the kidneys; (7) the ureters; and (8) the suprarenal 

 capsules. 



(1) The lymphatics of the stomach begin in the mucous and subserous coat, 

 and thence follow the course of the blood-vessels. Thus some run upwards to the 

 lesser curve of the stomach, others downwards to the greater curve, and others left- 

 wards to the greater end. Iw this way, three chief sets are formed — the sujx-rior 

 gastric, the inferior gastric, and the left gastric lymphatics, {a) The superior 

 gastric follow the course of tlie coronary vein along the lesser curvature towards the 

 cardiac end of the stomach, lying between the layers of the lesser omentum. They 

 pass on their way through five or six small (superior gastric) lymphatic glands. 

 Reaching the cardia, they turn downwards, and, having been joined by some of 



Fig. 399b. — Diagram of the Arrangement of the Lymphatics of the Uterus, Fallopian 

 Tubes, Ovaries, Vagina, and External Vulva. (Alter Drawiug by Dr. Francis R. 

 Sherwood.) 



Lumbar glands 



Internal 

 Iliac glands 



Superficia 

 Femoral Glands 



the lymjihatics from the left lolie of the liver, enter the upper coeliac glands. 

 (h) The inferior gastric lymphatics follow the course of the right gastro-epiploic 

 vessels towards the i)ylorus, along the greater curv'ature of the stomach, between 

 the layers of the greater omentum. After passing through six or eight small glands 

 (inferior gastric), they are joined by the lymphatics from the upper part of the 

 duodenum, and run between the pylorus and pancreas to the cneliac glands, (c) The 

 left gastric lymphatics run with the vasa brevia, between the folds of the gastro- 

 .-pleiiic omentum, to the splenic lymphatic glands. 



The lymphatic glands of the stomach are the superior and inferior gastric 

 glands. 



The superior gastric glands, five or six in number, are situated along the 

 lesser curve between the layers of the gastro-hepatic omentum. They receive the 

 sui)erior gastric lymphatics; their efferent ducts pass first upwards towards the 



