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The primary role of the bronchomediastinal lymph trunks is to transport lymph, which contains proteins, lipids, and immune cells such as lymphocytes, from the thoracic organs, including the lungs, heart, trachea, and esophagus, to the bloodstream. These trunks act as major conduits for lymph to reach larger lymphatic ducts or directly enter the ...
The first sign of a malignancy, especially an intra-abdominal one, may be an enlarged Virchow's node, a lymph node in the left supraclavicular area, in the vicinity where the thoracic duct empties into the left brachiocephalic vein, right between where the left subclavian vein and left internal jugular join (i.e., the left Pirogoff angle).
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 ...
When an efferent lymph vessel leaves a lymph node, it may carry lymph to another lymph node by becoming its afferent lymph vessel or unite with other efferent vessels to become a lymph trunk. The lymph trunks drain into the lymph ducts, which in turn return lymph to the blood by emptying into the respective subclavian veins. [1]
The right duct drains lymph fluid from: the upper right section of the trunk, (right thoracic cavity, via the right bronchomediastinal trunk) [1] the right arm (via the right subclavian trunk) [1] and right side of the head and neck (via the right jugular trunk) [1] also, in some individuals, the lower lobe of the left lung. [5]
The efferent vessels of the subclavicular group unite to form the subclavian trunk, which opens either directly into the junction of the internal jugular and subclavian veins or into the jugular lymphatic trunk; on the left side it may end in the thoracic duct.
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The intestinal trunk receives the lymph from the stomach and intestine, from the pancreas and spleen, and from the lower and front part of the liver, and empties lymph into the cisterna chyli, which in turn drains into the thoracic duct.