THE LYMPH VESSELS AND GLANDS

The =thoracic duct= arises from a small cisterna chyli and is very

variable. It is exceptional to find a single trunk throughout, as is

often the case in the horse. The duct is largely covered by fat and

small lymph glands. There are often two ducts, one on either side of the

aorta, which may join at a variable point or terminate close together at

the junctions of the jugular and brachial veins. In other cases the duct

is single for a variable distance, then bifurcates or divides into three

or four branches, which are often connected by plexiform anastomoses.

The efferent vessels from the intestine converge to a large trunk which

accompanies the anterior mesenteric artery and vein. It passes below the

pancreas and receives usually a large duct which is formed by efferent

vessels from the stomach, liver, and spleen; this duct sometimes opens

directly into the cisterna. The gastro-intestinal trunk receives the

collecting duct (truncus lumbalis) of the lumbar lymph vessels, forms a

bend around the right renal vessels, and joins the cisterna.

The =lymph glands= in the ox are in general less numerous but larger

than those of the horse, and in some situations a single large gland

occurs instead of a group of smaller ones, as found in the latter

animal.

The =submaxillary lymph glands= are usually two in number, right and

left; each is situated under the external maxillary vein between the

submaxillary salivary gland and the sterno-cephalicus muscle. Usually

one or two hæmolymph glands are near it. There is generally a small

gland on the deep face of the anterior part of the submaxillary salivary

gland, and small nodes may be found further forward in the submaxillary

space.

A large =subparotid lymph gland= lies on the postero-superior part of

the masseter muscle, partly under cover of the upper end of the parotid

gland. Several hæmolymph glands lie on its deep face.

The =pharyngeal lymph glands= number two or three on each side. Of

these, two large =suprapharyngeal glands= (Lg. retropharyngeales) are

situated about an inch apart between the dorsal wall of the pharynx and

the ventral straight muscles (Figs. 281, 365). These are two to three

inches long. Enlargement of them is likely to cause difficulty in

swallowing and in respiration. Behind these are several hæmolymph

glands. An =atlantal gland= is situated below the wing of the atlas on

the spinal accessory nerve. It is discoid, oval in outline, and may be

an inch and a half or more in length. It is partly covered by the upper

end of the submaxillary salivary gland.

A smaller lymph gland (parapharyngeal) is usually found along the lower

border of the carotid artery (_i. e._, ventral to the atlantal gland) on

the lateral wall of the pharynx and under cover of the submaxillary

salivary gland or at its posterior border.

Two or three small =anterior cervical lymph glands= commonly lie along

the carotid artery a little further back.

The =middle cervical lymph glands= comprise a series of small nodes

along the dorsal face of the trachea.

In the sheep and goat there is a lymph gland at the middle of the

neck, in the angle between the spinalis and complexus, covered by the

splenius. It receives vessels from the atlantal gland and sends

efferents to the prescapular gland.

The =prescapular= or =superficial cervical lymph gland= is situated at

the anterior border of the supraspinatus under cover of the

mastoido-humeralis and omo-transversarius. It is elongated and may be an

inch or more in width and four or five inches long. Two occur in

exceptional cases.

A chain of hæmolymph glands lies along the front of the shoulder,

covered above by the trapezius. Others are frequently found (in the

calf especially) on the surface of the omo-transversarius at the point

where it passes under the mastoido-humeralis (Forgeot).

[Illustration:

FIG. 478.—SUPERFICIAL LYMPH GLANDS OF COW PROJECTED ON SURFACE OF

BODY.

_1_, Submaxillary; _2_, subparotid; _3_, atlantal; _4_,

parapharyngeal; _5_, anterior cervical; _6_, middle cervical; _7_,

prescapular; _8_, precrural. (With use of fig. in Ellenberger-Baum,

Anat. f. Künstler.)

]

The =posterior cervical= or =prepectoral lymph glands= number commonly

three or four on each side. One or two are placed on the brachial

vessels, one below the brachial vein at the first rib, and one at the

junction of the common trunk of the external and subcutaneous thoracic

veins with the brachial.

The =intercostal lymph glands= are situated, as in the horse, at the

upper parts of the intercostal spaces. Associated with them are

hæmolymph glands.

The =sternal lymph glands= are situated along the course of the internal

thoracic artery at the lower part of the intercostal spaces. The largest

is close to the thoracic inlet. Several glands occur in the fat about

the apex of the pericardium.

4. Several =anterior mediastinal lymph glands= are placed along the

œsophagus and the trachea.[183] Hæmolymph glands occur here also.

Usually three large =bronchial lymph glands= are present (Fig. 289). One

is situated at the origin of each chief bronchus and the third is under

the trachea at the origin of the special bronchus of the apical lobe of

the right lung. Another may lie between the aorta and the left branch of

the pulmonary artery. These glands are often pigmented. Other small

nodes are situated on the bronchi within the lungs.

The =posterior mediastinal lymph glands= comprise two or three of large

size placed along the dorsal wall of the œsophagus. There may be a

single gland about eight inches (ca. 20 cm.) long, the anterior half of

which lies on the œsophagus (Fig. 289).[184] A small gland is situated

in the acute angle formed by the posterior vena cava and the diaphragm.

A single =axillary lymph gland= is situated on the distal part of the

teres major on the course of the vein from the latissimus dorsi.

The =lumbar lymph glands= form an irregular series scattered along the

abdominal aorta and posterior vena. A bean-shaped =renal lymph gland=

occurs at the hilus of each kidney. Hæmolymph glands occur along the

course of the aorta.

[Illustration:

A text-book of veterinary anatomy · 第 793 / 1619 题