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In humans, the cisterna chyli is located posterior to the abdominal aorta on the anterior aspect of the bodies of the first and second lumbar vertebrae (L1 and L2). There it forms the beginning of the primary lymph vessel, the thoracic duct, which transports lymph and chyle from the abdomen via the aortic opening of the diaphragm up to the junction of left subclavian vein and internal jugular ...
The characteristic anatomy of the thoracic duct is present in only about half of individuals. [3]Origin. A cisterna chyli is absent in about half of individuals; the cisterna chyli fails to develop when the fusion of lumbar trunk during embryologic development occurs above the vertebral level of T12.
Modes of origin of thoracic duct. a. Thoracic duct. a’. Cisterna chyli. b, c’ Efferent trunks from lateral aortic glands. d. An efferent vessel which pierces the left crus of the diaphragm. e. f. Lateral aortic glands. h. Retroaortic glands. i. Intestinal trunk. j. Descending branch from intercostal lymphatics.
The lumbar trunks are formed by the union of the efferent vessels from the lateral aortic lymph nodes.. They receive the lymph from the lower limbs, from the walls and viscera of the pelvis, from the kidneys and suprarenal glands and the deep lymphatics of the greater part of the abdominal wall.
Most of the efferent vessels from the paraaortic nodes converge to form the right and left lumbar trunks which join the cisterna chyli, but some enter the preaortic and retroaortic lymph nodes, and others pierce the crura of the diaphragm to join the lower end of the thoracic duct.
These are the retroperitoneal lymph sac, the cysterna chyli, and paired posterior lymph sacs. [1] The posterior lymph sacs are associated with the junctions of the external and internal iliac veins. These four new lymph sacs function in the collection of lymph from the trunk and lower extremities of the body.
The efferents of the glands in the lower four or five spaces unite to form a trunk, which descends and opens either into the cisterna chyli or into the commencement of the thoracic duct. The efferents of the glands in the upper spaces of the left side end in the thoracic duct; those of the corresponding right spaces, in the right lymphatic duct.
The cisterna chyli can be found in a thoracic MRI, making it possible to confirm chylothorax. However, MRI is not the ideal method to scan the thorax, and so it is rarely used. Another diagnostic technique is conventional lymphangiography. It is rarely used since there are equally sensitive yet less invasive techniques available to identify a ...