LYPHATIC DRAINAGE OF SOME ORGANS

ORGAN LYMPH DRAINAGE

Pancreas:

Pancreaticosplenic, Coeliac & Superior mesenteric lymph nodes

Liver: Kidney: Urinary Bladder: Male Urethra:

Caval, Hepatic, pericardial & Coeliac lymph nodes Lateral Aortic lymph nodes External iliac lymph nodes Internal iliac & partly to External iliac lymph nodes

Ovaries: Uterine Tubes:

Lateral Aortic & Para-Aortic lymph nodes Lateral Aortic & Para-Aortic lymph nodes & Isthmus Superficial Inguinal lymph nodes

Uterus:

Have three inter-communicating networks. (i) Endometrial, (ii) Myometrial, (iii) subperitoneal They drain into Upper part Aortic lymph nodes Middle part External iliac lymph nodes Lower part External iliac lymph nodes Fundus Para-aortic lymph nodes Body & Cervix iliac lymph nodes (External & Internal)

Vagina:

Upper 1/3rd External iliac lymph nodes Middle 1/3rd internal iliac lymph nodes Lower 1/3rd Superficial Inguinal lymph nodes

Prostate:

Mostly to Internal iliac & Sacral lymph nodes, partly to External iliac lymph nodes

Rectum:

Upper Half Para-rectal & Sigmoid lymph nodes Lower half Internal iliac lymph nodes

Anal Canal:

Above Pectinate line Internal iliac lymph nodes Below pectinate line Superficial Inguinal lymph nodes

Penis:

Glans Penis Deep Inguinal lymph nodes Rest of Penis Medial group of Superficial Inguinal lymph nodes

Testis: Scrotum:

Pre-aortic & Para-aortic lymph nodes Medial group of Superficial Inguinal Lymph Nodes

Epididymis: Duodenum:

Pre-aortic & Para-aortic lymph nodes First part: Pyloric Hepatic Coeliac lymph nodes Rest of 1st part upto Major Duodenal Papillae: PancreaticoDuodenalHepatic Coeliac lymph nodes Lower Part: PancreaticoDuodenalHepaticSuperior mesenteric lymph nodes

Jejunum & Ilium: Large Intestine:

From Lacteals into plexus into wall of Gut Lymph passes through four sets of lymph nodes (i) Epicolic lymph nodes Lie on wall of Gut (ii) Paracolic lymph nodes (iii) Intermediate lymph nodes (iv) Terminal lymph nodes

Appendix: Gall Bladder, Cystic duct, Hepatic duct, Upper Bile duct

iliocolic lymph nodes

Cystic lymph nodes

Lower part of Bile duct:

Lower Hepatic & upper Pancreatico-Splenic lymph nodes