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The cisterna chyli (or cysterna chyli, and etymologically more correct, receptaculum chyli) is a dilated sac at the lower end of the thoracic duct into which lymph from the intestinal trunk and two lumbar lymphatic trunks flow. It receives fatty chyle from the intestines and thus acts as a conduit for the lipid products of digestion. It is the most common drainage trunk of most of the body's lymphatics. The cisterna chyli is located posterior to the abdominal aorta on the anterior aspect of the bodies of the first and second lumbar vertebrae. There it forms the beginning of the primary lymph vessel, the thoracic duct, which transports lymph and chyle from the abdomen via the aortic opening to the junction of left subclavian vein and internal jugular veins.
Scheme showing relative positions of primary lymph sacs.
Deep lymph nodes and vessels of the thorax and abdomen (diagrammatic).
The relations of the viscera and large vessels of the abdomen.
Lymphatic system
Cisterna chyli (arrow), adjacent to the azygous vein (curved arrow). Normally not visible on CT; this is a 83 male who had a CT for follow-up of gastrointestinal stromal tumour.
M: LMO
anat (h, u, t, a, l)/phys/devp
noco/cong/tumr
proc
Lymph capillary → Afferent lymph vessel (Lymphatic vessel) → Lymph node → Efferent lymph vessel (Lymphatic vessel) →
Lymph trunk (Subclavian lymph trunk • Jugular lymph trunk • Bronchomediastinal lymph trunk • Intestinal lymph trunk → Cisterna chyli • Lumbar lymph trunk → Cisterna chyli) → Lymph duct {Right lymphatic duct and (Kacheshmarova's lymph duct→) Thoracic duct (left side)→}
M: VAS
anat (a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
noco/syva/cong/lyvd/tumr, sysi/epon, injr
proc, drug (C2s+n/3/4/5/7/8/9)