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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.
Chyle (from Greek χυλός (chylos) 'juice' [1]) is a milky bodily fluid consisting of lymph and emulsified fats, or free fatty acids (FFAs). It is formed in the small intestine during digestion of fatty foods, and taken up by lymph vessels specifically known as lacteals.
The bronchomediastinal lymph trunks are situated in the mediastinum - the central part of the thoracic cavity. Each trunk extends from the thoracic inlet to the root of the neck, positioned laterally.
Diagram showing parts of the body that drain into the right lymphatic duct. The right duct drains lymph fluid from: . the upper right section of the trunk, (right thoracic cavity, via the right bronchomediastinal trunk) [1]
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 ...