Henry Gray (18251861). Anatomy of the Human Body. 1918.
a plexiform interlacement. It occasionally divides at its upper part into two branches, right and left; the left ending in the usual manner, while the right opens into the right subclavian vein, in connection with the right lymphatic duct. The thoracic duct has several valves; at its termination it is provided with a pair, the free borders of which are turned toward the vein, so as to prevent the passage of venous blood into the duct.
The cisterna chyli (receptaculum chyli) (Fig. 600) receives the two lumbar lymphatic trunks, right and left, and the intestinal lymphatic trunk. The lumbar trunks are formed by the union of the efferent vessels from the lateral aortic lymph glands. They receive the lymph from the lower limbs, from the walls and viscera of the pelvis, from the kidneys and suprarenal glands and the deep lymphatics of the greater part of the abdominal wall. 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.
Tributaries.Opening into the commencement of the thoracic duct, on either side, is a descending trunk from the posterior intercostal lymph glands of the lower six or seven intercostal spaces. In the thorax the duct is joined, on either side, by a trunk which drains the upper lumbar lymph glands and pierces the crus of the diaphragm. It also receives the efferents from the posterior mediastinal lymph glands and from the posterior intercostal lymph glands of the upper six left spaces. In the neck it is joined by the left jugular and left subclavian trunks, and sometimes by the left bronchomediastinal trunk; the last-named, however, usually opens independently into the junction of the left subclavian and internal jugular veins.
The right lymphatic duct (ductus lymphaticus dexter) (Fig. 601), about 1.25 cm. in length, courses along the medial border of the Scalenus anterior at the root of the neck and ends in the right subclavian vein, at its angle of junction with the right internal jugular vein. Its orifice is guarded by two semilunar valves, which prevent the passage of venous blood into the duct.