Inferior mesenteric lymph nodes

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Inferior mesenteric lymph nodes
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Lymphatics of colon. (Inferior mesenteric labeled at bottom center.)
Illu lymph nodes.jpg
Details
System Lymphatic system
Drains to Preaortic lymph node
Identifiers
Latin nodi lymphoidei mesenterici inferiores
Anatomical terminology

The inferior mesenteric lymph nodes consist of:

Structure

The inferior mesenteric lymph nodes are lymph nodes present throughout the hindgut. [1]

Contents

Afferents

The inferior mesenteric lymph nodes drain structures related to the hindgut; [1] they receive lymph from the descending colon, sigmoid colon, and proximal part of the rectum. [2]

Efferents

They drain into the superior mesenteric lymph nodes and ultimately to the preaortic lymph nodes. [1] Lymph nodes surrounding the inferior mesenteric artery drain directly into the preaortic nodes. [1]

Clinical significance

Colorectal cancer may metastasise to the inferior mesenteric lymph nodes. For this reason, the inferior mesenteric artery may be removed in people with lymph node-positive cancer. [3] This has been proposed since at least 1908, by surgeon William Ernest Miles. [4]

Additional images

Related Research Articles

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<span class="mw-page-title-main">Large intestine</span> Last part of the digestive system in vertebrates

The large intestine, also known as the large bowel, is the last part of the gastrointestinal tract and of the digestive system in tetrapods. Water is absorbed here and the remaining waste material is stored in the rectum as feces before being removed by defecation. The colon is the longest portion of the large intestine, and the terms are often used interchangeably but most sources define the large intestine as the combination of the cecum, colon, rectum, and anal canal. Some other sources exclude the anal canal.

<span class="mw-page-title-main">Duodenum</span> First section of the small intestine

The duodenum is the first section of the small intestine in most higher vertebrates, including mammals, reptiles, and birds. In mammals it may be the principal site for iron absorption. The duodenum precedes the jejunum and ileum and is the shortest part of the small intestine.

<span class="mw-page-title-main">Sigmoid colon</span> Section of the large intestine closest to the rectum and anus

The sigmoid colon is the part of the large intestine that is closest to the rectum and anus. It forms a loop that averages about 35–40 centimetres (14–16 in) in length. The loop is typically shaped like a Greek letter sigma (ς) or Latin letter S. This part of the colon normally lies within the pelvis, but due to its freedom of movement it is liable to be displaced into the abdominal cavity.

<span class="mw-page-title-main">Mesentery</span> Contiguous fold of tissues that supports the intestines

In human anatomy, the mesentery, an organ that attaches the intestines to the posterior abdominal wall, comprises the double fold of the peritoneum. It helps in storing fat and allowing blood vessels, lymphatics, and nerves to supply the intestines.

<span class="mw-page-title-main">Inferior mesenteric artery</span>

In human anatomy, the inferior mesenteric artery (IMA) is the third main branch of the abdominal aorta and arises at the level of L3, supplying the large intestine from the distal transverse colon to the upper part of the anal canal. The regions supplied by the IMA are the descending colon, the sigmoid colon, and part of the rectum.

<span class="mw-page-title-main">Inferior mesenteric vein</span> Vein which drains blood from the large intestine

In human anatomy, the inferior mesenteric vein (IMV) is a blood vessel that drains blood from the large intestine. It usually terminates when reaching the splenic vein, which goes on to form the portal vein with the superior mesenteric vein (SMV).

<span class="mw-page-title-main">Middle rectal artery</span>

The middle rectal artery is an artery in the pelvis that supplies blood to the rectum.

<span class="mw-page-title-main">Sigmoid arteries</span>

The sigmoid arteries are 2–5 branches of the inferior mesenteric artery that are distributed to the distal descending colon and the sigmoid colon.

<span class="mw-page-title-main">Right colic artery</span> Artery supplying the colon

The right colic artery is an artery of the abdomen, a branch of the superior mesenteric artery supplying the ascending colon. It divides into two terminal branches - an ascending branch and a descending branch - which form anastomoses with the middle colic artery, and ileocolic artery (respectively).

<span class="mw-page-title-main">Left colic artery</span> Artery

The left colic artery is a branch of the inferior mesenteric artery distributed to the descending colon, and left part of the transverse colon. It ends by dividing into an ascending branch and a descending branch; the terminal branches of the two branches go on to form anastomoses with the middle colic artery, and a sigmoid artery (respectively).

<span class="mw-page-title-main">Inferior mesenteric plexus</span>

The inferior mesenteric plexus is derived chiefly from the aortic plexus.

<span class="mw-page-title-main">Midgut</span> Embryonic structure from which most of the human intestines develop

The midgut is the portion of the human embryo from which most of the intestines develop. After it bends around the superior mesenteric artery, it is called the "midgut loop". It comprises the portion of the alimentary canal from the end of the foregut at the opening of the bile duct to the hindgut, about two-thirds of the way through the transverse colon.

<span class="mw-page-title-main">Descending colon</span>

In the anatomy of humans and homologous primates, the descending colon is the part of the colon extending from the left colic flexure to the level of the iliac crest. The function of the descending colon in the digestive system is to store the remains of digested food that will be emptied into the rectum.

<span class="mw-page-title-main">Superior rectal artery</span>

The superior rectal artery is an artery that descends into the pelvis to supply blood to the rectum.

<span class="mw-page-title-main">Preaortic lymph nodes</span>

The preaortic lymph nodes lie in front of the aorta, and may be divided into celiac lymph nodes, superior mesenteric lymph nodes, and inferior mesenteric lymph nodes groups, arranged around the origins of the corresponding arteries.

<span class="mw-page-title-main">Superior mesenteric lymph nodes</span>

The superior mesenteric lymph nodes may be divided into three principal groups:

<span class="mw-page-title-main">Celiac lymph nodes</span>

The celiac lymph nodes are associated with the branches of the celiac artery. Other lymph nodes in the abdomen are associated with the superior and inferior mesenteric arteries. The celiac lymph nodes are grouped into three sets: the gastric, hepatic and splenic lymph nodes. They receive lymph from the stomach, duodenum, pancreas, spleen, liver, and gall bladder.

<span class="mw-page-title-main">Hepatic lymph nodes</span> Lymph nodes on the common hepatic artery

The hepatic lymph nodes consist of the following groups:

<span class="mw-page-title-main">Rectum</span> Final portion of the large intestine

The rectum is the final straight portion of the large intestine in humans and some other mammals, and the gut in others. The adult human rectum is about 12 centimetres (4.7 in) long, and begins at the rectosigmoid junction at the level of the third sacral vertebra or the sacral promontory depending upon what definition is used. Its diameter is similar to that of the sigmoid colon at its commencement, but it is dilated near its termination, forming the rectal ampulla. It terminates at the level of the anorectal ring or the dentate line, again depending upon which definition is used. In humans, the rectum is followed by the anal canal, which is about 4 centimetres (1.6 in) long, before the gastrointestinal tract terminates at the anal verge. The word rectum comes from the Latin rectumintestinum, meaning straight intestine.

References

PD-icon.svgThis article incorporates text in the public domain from page 710 of the 20th edition of Gray's Anatomy (1918)

  1. 1 2 3 4 Drake, Richard L.; Vogl, Wayne; Tibbitts, Adam W.M. Mitchell; illustrations by Richard; Richardson, Paul (2005). Gray's anatomy for students. Philadelphia: Elsevier/Churchill Livingstone. p. 307. ISBN   978-0-8089-2306-0.{{cite book}}: CS1 maint: multiple names: authors list (link)
  2. Sobotta Anatomy Textbook. Friedrich Paulsen, Tobias M. Böckers, J. Waschke, Stephan Winkler, Katja Dalkowski, Jörg Mair, Sonja Klebe, Elsevier ClinicalKey. Munich. 2018. p. 345. ISBN   978-0-7020-6760-0. OCLC   1132300315.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
  3. Kim, J.C.; Lee, K.H.; Yu, C.S.; Kim, H.C.; Kim, J.R.; Chang, H.M.; Kim, J.H.; Kim, J.S.; Kim, T.W. (2004). "The clinicopathological significance of inferior mesenteric lymph node metastasis in colorectal cancer". European Journal of Surgical Oncology. 30 (3): 271–279. doi:10.1016/j.ejso.2003.12.002. PMID   15028308.
  4. Pezim, M. E.; Nicholls, R. J. (1984). "Survival after high or low ligation of the inferior mesenteric artery during curative surgery for rectal cancer". Annals of Surgery. 200 (6): 729–733. doi:10.1097/00000658-198412000-00010. PMC   1250590 . PMID   6508403.