Inferior mesenteric lymph nodes

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Inferior mesenteric lymph nodes
Gray617.png
Lymphatics of colon. (Inferior mesenteric labeled at bottom center.)
Illu lymph nodes.jpg
Details
SystemLymphatic system
Drains topreaortic lymph node
Identifiers
Latinnodi lymphoidei mesenterici inferiores
Anatomical terminology

The inferior mesenteric lymph nodes consist of:

  • (a) small glands on the branches of the left colic and sigmoid arteries
  • (b) a group in the sigmoid mesocolon, around the superior hemorrhoidal artery
  • (c) a pararectal group in contact with the muscular coat of the rectum

Structure[]

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

Function[]

The inferior mesenteric lymph nodes drain structures related to the hindgut. The lymph nodes 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]

They drain the descending colon and sigmoid parts of the colon and the upper part of the rectum.

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.[2] This has been proposed since at least 1908, by surgeon William Ernest Miles.[3]

Additional images[]

References[]

Public domain This article incorporates text in the public domain from page 710 of the 20th edition of Gray's Anatomy (1918)

  1. ^ Jump up to: a b c 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.CS1 maint: multiple names: authors list (link)
  2. ^ 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.
  3. ^ 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 Surgical Review. 200 (6): 729–733. doi:10.1097/00000658-198412000-00010. PMC 1250590. PMID 6508403.
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