A lymph duct (or lymphatic duct) is a great lymphatic vessel that empties lymph into one of the subclavian veins. There are two lymph ducts in the human body—the right lymphatic duct and the thoracic duct. The right lymphatic duct drains lymph from the right upper limb, right side of thorax and right halves of head and neck. The thoracic duct drains lymph into the circulatory system at the left brachiocephalic vein between the left subclavian and left internal jugular veins.
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In this Dossier
Thoracic duct in the context of Mediastinum
The mediastinum (from Medieval Latin: mediastinus, lit. 'midway';pl.: mediastina) is the central compartment of the thoracic cavity. Surrounded by loose connective tissue, it is a region that contains vital organs and structures within the thorax, mainly the heart and its vessels, the esophagus, the trachea, the vagus, phrenic and cardiac nerves, the thoracic duct, the thymus and the lymph nodes of the central chest.
Thoracic duct in the context of Subclavian vein
The subclavian vein is a paired large vein, one on either side of the body, that is responsible for draining blood from the upper extremities, allowing this blood to return to the heart. The left subclavian vein plays a key role in the absorption of lipids, by allowing products that have been carried by lymph in the thoracic duct to enter the bloodstream. The diameter of the subclavian veins is approximately 1–2 cm, depending on the individual.
Thoracic duct in the context of Lacteal
A lacteal is a lymphatic capillary that absorbs dietary fats in the villi of the small intestine.
Triglycerides are emulsified by bile and hydrolyzed by the enzyme lipase, resulting in a mixture of fatty acids, di- and monoglycerides. These then pass from the intestinal lumen into the enterocyte, where they are re-esterified to form triglyceride. The triglyceride is then combined with phospholipids, cholesterol ester, and apolipoprotein B48 to form chylomicrons. These chylomicrons then pass into the lacteals, forming a milky substance known as chyle. Lacteals regulate chylomicron uptake through specialized button-like endothelial junctions that facilitate entry of dietary lipids into the lymphatic lumen.The lacteals merge to form larger lymphatic vessels that transport the chyle to the thoracic duct where it is emptied into the bloodstream at the subclavian vein.