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    Figure 2 from Management of Cervical Chylous Fistula Following Neck Dissection in Thyroid Cancer Patients | Semantic Scholar
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    The thoracic duct is formed from the abdominal confluence of the left and right lumbar lymph trunks, as well as the left and right intestinal lymph trunks between T12 and L2. If the confluence of lymph trunks is saccular, it is referred to as cisterna chyli. The cisterna chyli is a dilated collecting sac that is located retro-peritoneal on the bodies of the first two lumbar vertebrae. It drains the lymph from the intestines and gives rise to the thoracic duct, which then passes through the aortic opening in the diaphragm (at level T12). The cisterna chyli receives fatty chyle from the intestines and thus acts as a conduit for the lipid products of digestion.
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