Five cases of inguinal bubo / by G.H. Colt.

  • Colt, G. H.
Date:
[1907]
Catalogue details

Licence: In copyright

Credit: Five cases of inguinal bubo / by G.H. Colt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    derived from the superficial Ijmphatics of the back and outer part of the thigh and buttock, from the superficial lymphatics of the abdominal wall below the level of the um- bilicus, except from those of the lower and inner part of this area, which j^ass to Group 2, and one or two from the front and outer part of the thigh. The efferent vessels pierce the upper and inner portion of the femoral sheath and pass through the crural canal to the deep femoral or external iliac glands. 2. A supero-internal or pubic group of from two to four glands situated near the pubic spine and to the inner side of the internal saphenous vein. Their afferent vessels are derived from the superficial lymphatics of the lower and middle portions of the anterior abdominal wall, from the upper and inner parts of the thigh, from the skin covering the external genital organs, the perineum, and anus. They also receive lymphatics from the lowest part of the rectum, from the membranous and spongy portions of the urethra, and from the glans penis. The efferent vessels pass to Groups 1 and 3 and through the saphenous opening to the deep femoral and external iliac glands. 3. An inferior or femoral set of from three to six glands grouped vertically around the upper end of the internal saphenous vein. Their afferent vessels come from all the superficial lymphatics ®f the thigh and leg except from a few on the upper and outer aspect of the thigh which pass to Group 2 and one or two which pass to Group 1, except also from the lymphatics on the outer side of the leg behind the fibular region which follow the course of the external saphenous vein to the popliteal glands and drain an area on the outer border of the foot near the heel. There is an excellent demonstration of these superficial lymphatics in a specimen in the Mus6e au Filat, in Paris, of a mummified lower limb, which shows that this last-mentioned lymph- shed is much smaller than is usually depicted in the text- books of anatomy. In the specimen referred to there are only two lymphatics of any size in the area on the outer side of the leg which do not pass across the middle line either on the front or the back of the leg to join the lymphatics along the course of the internal saphenous vein. The efferent lymphatics of Group 3 pass via the saphenous opening to the deep femoral or external iliac glands.