[Systematization of proper lymphatic vessels of the diaphragm].
The aim of this study was to demonstrate lymphatic vessels of the diaphragm, its connexions with mediastinum and abdominal cavity in order to better understand propagation of neoplasic or infectious processes. Diaphragmatic pleura of 30 adult cadavers and 12 fetuses, unscathed of any cardiopulmonary pathology, were injected with modified Gerota's medium to permit lymph vessels and nodes to be visualized and then dissected. Each stage of dissection was described and photographed. Diaphragmatic lymph vessels, their connexions with diaphragmatic lymph nodes, mediastinum and abdominal cavity have been so demonstrated. Diaphragm appear to be a very important lymphatic center, with its own lymphatic vessels, with connexions to the mediastinum and abdominal cavity. The propagation of infectious or neoplasic processes are so better understood.
Okiemy
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Service de Chirurgie Polyvalente, CHU-Brazzaville, Congo. okiemyisseret50@yahoo.fr
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Itoua
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Avisse
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Riquet
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D000328:Adult; D000368:Aged; D002102:Cadaver; D003964:Diaphragm / Q000033:anatomy & histology* / Q000196:embryology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D042601:Lymphatic Vessels / Q000196:embryology; D008297:Male; D008875:Middle Aged