|Lymph: Thoracic duct|
|The thoracic and right lymphatic ducts. (Thoracic duct is thin vertical white line at center.)|
|Modes of origin of thoracic duct. a. Thoracic duct. a’. Cisterna chyli. b, c’ Efferent trunks from lateral aortic glands. d. An efferent vessel which pierces the left crus of the diaphragm. e. f. Lateral aortic glands. h. Retroaortic glands. i. Intestinal trunk. j. Descending branch from intercostal lymphatics.|
|Gray's||subject #176 690|
|Drains to||junction of the left subclavian vein and left internal jugular vein|
It collects most of the lymph in the body (except that from the right arm and the right side of the chest, neck and head, which is collected by the right lymphatic duct) and drains into the systemic (blood) circulation at the left subclavian vein.
Location and direction of flow
It extends vertically in the chest and curves posteriorly to the left carotid artery and left jugular vein at the C7 vertebral level to empty into the junction of the left subclavian vein and left jugular vein, below the clavicle, near the shoulders.
Volume, mechanism, and direction of flow
In adults, the thoracic duct transports up to 4 L of lymph per day.
The lymph transport in the thoracic duct is mainly caused by the action of breathing, aided by the duct's smooth muscle and by internal one way valves which prevent the lymph from flowing back down again.
There are also two valves at the junction of the duct with the left subclavian vein, to prevent the flow of venous blood into the duct.
The first sign of a malignancy (especially an intraabdominal one) may be an enlarged Virchow's node, a lymph node in the left supraclavicular area, in the vicinity where the thoracic duct empties into the left subclavian vein.
It is also known under various other names including the alimentary duct, chyliferous duct, duct of Pecquet, the left lymphatic duct and Van Hoorne's canal. 
- Anatomy at MUN thorax/lymph
- SUNY Figs 21:05-02 - "The thoracic duct and azygos venous network."
- SUNY Anatomy Image 8901
- Human anatomy at Dartmouth figures/chapter_24/24-5.HTM
- Diagram at anatomyatlases.org
Lymphatics of torso
|Chest||Right lymphatic duct - Thoracic duct (spans diaphragm)|
Bronchomediastinal trunk (Tracheobronchial, Parasternal) - Intercostal
|Abdomen||Cisterna chyli Intestinal trunk - preaortic: Celiac (Gastric, Hepatic, Splenic) - Superior mesenteric (Mesenteric, Ileocolic, Mesocolic) - Inferior mesenteric (Pararectal)|
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