Inguinal (Superficial) Lymph Nodes - Horse Anatomy
Lymphatic System

Inguinal (Superficial) Lymph Nodes

Lymphonodi inguinales superficiales

Overview

The superficial inguinal lymph nodes are located in the subcutaneous tissue of the inguinal region. In the male horse, they lie alongside the prepuce and external inguinal ring; in the mare, they are associated with the mammary gland (and are sometimes called mammary lymph nodes). They drain lymph from the skin of the medial thigh, prepuce or udder, inguinal skin, and the ventral abdominal wall. Deeper inguinal (iliac) nodes drain the reproductive tract and deeper pelvic structures.

Clinical Significance

The superficial inguinal lymph nodes are located in the inguinal region; in males adjacent to the external inguinal ring and spermatic cord; in females adjacent to the mammary gland (mammary lymph nodes). They drain the skin of the medial hindlimb, inguinal region, prepuce/scrotum (males), and udder (females). Palpation of the inguinal nodes is part of the pre-purchase examination and routine physical exam, particularly in stallions being evaluated for inguinal hernia.

Common Conditions & Injuries

Inguinal Lymphadenitis

Inflammation and enlargement of the inguinal lymph nodes secondary to infections of the hindlimb, inguinal region, prepuce, udder, or external genitalia. Common after hind limb wounds or cellulitis.

Lymphedema (Chronic Progressive Lymphedema)

Progressive swelling of the distal limbs due to impaired lymphatic drainage. Chronic progressive lymphedema (CPL) is a heritable condition in draft breeds (Shires, Clydesdales, Belgians) causing fibro

Melanoma (Inguinal/Perineal)

Melanocytic tumors in the perineal, inguinal, and ventral tail base regions are extremely common in gray horses. May be benign for years before undergoing malignant transformation.

Frequently Asked Questions

What is Inguinal Lymphadenitis in horses?

Inflammation and enlargement of the inguinal lymph nodes secondary to infections of the hindlimb, inguinal region, prepuce, udder, or external genitalia. Common after hind limb wounds or cellulitis. Signs include: Enlarged, painful inguinal lymph nodes; hindlimb edema; stiff gait; may be accompanied by sheath or udder swelling; fever if bacterial

What is Lymphedema (Chronic Progressive Lymphedema) in horses?

Progressive swelling of the distal limbs due to impaired lymphatic drainage. Chronic progressive lymphedema (CPL) is a heritable condition in draft breeds (Shires, Clydesdales, Belgians) causing fibrotic skin changes. Non-hereditary forms occur secondary to lymph node damage. Signs include: Progressive, non-painful lower limb swelling (initially pitting, then firm/fibrotic); skin thickening and folding; secondary skin infections; nodular fibrosis; ulceration in severe cases

What is Melanoma (Inguinal/Perineal) in horses?

Melanocytic tumors in the perineal, inguinal, and ventral tail base regions are extremely common in gray horses. May be benign for years before undergoing malignant transformation. Signs include: Firm, dark, nodular masses in perineal and inguinal regions; may compress inguinal lymph nodes; obstruction of defecation or urination if large; metastasis causes internal organ involvement

What are the clinical concerns for the Inguinal (Superficial) Lymph Nodes?

The superficial inguinal lymph nodes are located in the inguinal region; in males adjacent to the external inguinal ring and spermatic cord; in females adjacent to the mammary gland (mammary lymph nodes). They drain the skin of the medial hindlimb, inguinal region, prepuce/scrotum (males), and udder (females). Palpation of the inguinal nodes is part of the pre-purchase examination and routine physical exam, particularly in stallions being evaluated for inguinal hernia.

Explore This Structure in 3D

See the Inguinal (Superficial) Lymph Nodes on our interactive 3D horse model. Open 3D Model