Obturator nodes

Nodi obturatorii

  • Related terms: External iliac nodes: Obturator nodes

Definition

Antoine Micheau

The obturator lymph nodes are a group of pelvic lymph nodes located in the obturator fossa along the obturator artery between the external and internal iliac vessels, with the superior aspect starting at the bifurcation of these vessels and extending inferiorly until the obturator vessels exit the pelvis through the obturator foramen.

The obturator lymph nodes are closely associated with the obturator nerve and vessels, lying lateral to the obturator internus muscle.

The boundaries of the obturator lymph node compartment are:

Cranial

Bifurcation of common iliac artery

Caudal

Insertion of levator ani muscle into external sphincter and obturator foramen

Anterior

Mid: posterior wall of the external iliac vein

Lower: Anterior surface of obturator artery

Medial

Upper: 7 mm around the vessel

Lower: Mesorectal fascia, pelvic organs

References

Lateral Lymph Nodes in Rectal Cancer: Do we all Think the Same? A Review of Multidisciplinary Obstacles and Treatment RecommendationsSluckin, Tania C. et al.Clinical Colorectal Cancer, Volume 21, Issue 2, 80 - 88

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