An Anatomic Restudy of the Pelvic Lymphatics

Exceptional dissemination of perineal tuberculosis up to the right flank: a tribute to J.P. Nesselrod’s study on the anatomy of pelvic lymphatics published in 1936 in the Annals of Surgery

“…2c and 3a). While searching for an explanation for the exceptional extension and localisation of the inflammatory process involving the subcutaneous tissue on the right flank and the right iliopsoas muscle, we came across an anatomic study published by J.P. Nesselrod in 1936 ([12]; Fig. 4).…”

“…A thin subcutaneous spur ( arrows ) delineates potential routes of disease expansion ( b ) on the level of the lumbar vertebral column ( L5 fifth lumbar vertebral body, OS os sacrum)

Fig. 4Original figure from Nesselrod's publication in 1936 [12] in Annals of Surgery showing the perineal and gluteal distribution of lymphatic vessels after injections of mercury in the skin, respectively. Panel a shows a dorsal view of the sacrococcygeal and superior gluteal region of a male white fetus at term (original description).

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“…Original figure from Nesselrod's publication in 1936 [12] in Annals of Surgery showing the perineal and gluteal distribution of lymphatic vessels after injections of mercury in the skin, respectively. Panel a shows a dorsal view of the sacrococcygeal and superior gluteal region of a male white fetus at term (original description).…”