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CHYLI
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- The thoracic duct usually begins from the upper aspect of the cisterna chyli, passing out of the abdomen through the aortic hiatus into first the posterior mediastinum and then the superior mediastinum, extending as high up as the root of the neck before descending to drain into the systemic (blood) circulation at the venous angle.
- The cisterna chyli or receptaculum chyli (chy·li pronounced: ˈkī-ˌlī) is a dilated sac at the lower end of the thoracic duct in most mammals into which lymph from the intestinal trunk and two lumbar lymphatic trunks flow.
- Portal drainage carries all non-lipid nutrients from digestion to the liver for processing and detoxification, while lymphatic drainage carries fatty chyle to the cisterna chyli.
- Jean Pecquet studied medicine at Montpellier, where he investigated the important discovery (in 1622, by Gaspare Aselli) of the course of the lacteal vessels, including the receptaculum chyli (or reservoir of Pecquet, as it is sometimes called) and the termination of the principal lacteal vessel, the thoracic duct, into the left subclavian vein.
- The retroaortic lymph nodes (or postaortic lymph nodes) are placed below the cisterna chyli, on the bodies of the third and fourth lumbar vertebrae.
- Some of their efferents pass to the retroaortic lymph nodes, but the majority unite to form the intestinal lymph trunk, which enters the cisterna chyli.
- 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 splenic lymph nodes empty into the suprapancreatic, infrapancreatic and omental lymph nodes, which then drain to the coeliac nodes and cisterna chyli.
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Η προετοιμασία της σελίδας πήρε: 140,70 ms.