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Pararectal Nodes (Left)
Lymphoid System

Pararectal Nodes (Left)

Nodi pararectales

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Quick Facts

Location: Surrounding the rectum.

Drainage: Lower rectum.

Direction of Flow: External and Internal iliac lymph nodes (also superficial inguinal and sacral lymph nodes) > Common iliac lymph nodes > Lateral aortic lymph nodes (left) and lateral caval lymph nodes (right) > left and right lumbar lymph trunk > cisterna chyli > thoracic duct.

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The pararectal lymph nodes are associated with the middle and inferior anorectal arteries. They drain the lower rectum, retuning lymph to the external and internal iliac lymph nodes.

List of Clinical Correlates

- Metastatic cancer of lower rectum (Bell et al., 2009)


Bell, S., Sasaki, J., Sinclair, G., Chapuis, P. H. and Bokey, E. L. (2009) 'Understanding the anatomy of lymphatic drainage and the use of blue-dye mapping to determine the extent of lymphadenectomy in rectal cancer surgery: unresolved issues', Colorectal Dis, 11(5), pp. 443-9.

Complete Anatomy

The world's most advanced 3D anatomy platform

Complete Anatomy