Prefemoral (Subiliac) Lymph Nodes - Horse Anatomy
Lymphatic System

Prefemoral (Subiliac) Lymph Nodes

Lymphonodi subiliaci

Overview

The prefemoral (subiliac) lymph nodes are located in the flank fold cranial to the tensor fasciae latae muscle, approximately one hand's breadth cranio-dorsal to the stifle. They drain the skin and subcutaneous structures of the hindlimb, flank, lateral and caudal abdomen, and perineal region. Along with the submandibular and prescapular nodes, they form the triad of peripheral lymph nodes routinely assessed during physical examination. Their superficial location makes them easily palpable and accessible for fine needle aspiration cytology.

Clinical Significance

The prefemoral (subiliac) lymph node is located cranial to the tensor fasciae latae muscle in the flank fold, cranial and dorsal to the stifle. It drains the skin and subcutaneous tissues of the hindlimb, flank, and caudal abdomen. It is routinely palpated during physical examination; normal size is 3-5 cm, flat, mobile, and non-painful. Bilateral prefemoral lymph node enlargement in a horse with weight loss is highly suggestive of lymphosarcoma until proven otherwise.

Common Conditions & Injuries

Ulcerative Lymphangitis

Chronic, progressive infection of the lymphatic vessels and regional lymph nodes of the lower limb, most commonly caused by Corynebacterium pseudotuberculosis, Histoplasma farciminosum (epizootic lymp

Pigeon Fever; Internal Form

Internal abscessation by C. pseudotuberculosis affecting abdominal organs and deep lymph nodes, including the prefemoral and internal iliac groups. Carries 30-40% mortality compared to <1% for the ext

Lymphosarcoma; Peripheral Form

Neoplastic enlargement of peripheral lymph nodes, which may be generalized or localized. The prefemoral node is commonly affected in the multicentric form.

Frequently Asked Questions

What is Ulcerative Lymphangitis in horses?

Chronic, progressive infection of the lymphatic vessels and regional lymph nodes of the lower limb, most commonly caused by Corynebacterium pseudotuberculosis, Histoplasma farciminosum (epizootic lymphangitis; OIE listed), or Sporothrix schenckii (sporotrichosis). Signs include: Nodular swelling along lymphatic vessels of the limb ('corded' lymphatics); nodules ulcerate and discharge thick pus; chronic limb swelling (lymphedema); lameness; scarring

What is Pigeon Fever; Internal Form in horses?

Internal abscessation by C. pseudotuberculosis affecting abdominal organs and deep lymph nodes, including the prefemoral and internal iliac groups. Carries 30-40% mortality compared to <1% for the external form. Signs include: Persistent fever unresponsive to antibiotics; weight loss; ventral edema; colic; prolonged elevated fibrinogen and white cell count; abscesses visible on ultrasound in liver, spleen, kidneys, or lymph nodes

What is Lymphosarcoma; Peripheral Form in horses?

Neoplastic enlargement of peripheral lymph nodes, which may be generalized or localized. The prefemoral node is commonly affected in the multicentric form. Signs include: Progressive painless enlargement of one or multiple peripheral lymph nodes; weight loss; anemia; elevated globulins on serum chemistry; confirmed by cytology or biopsy (monomorphic lymphoid population)

What are the clinical concerns for the Prefemoral (Subiliac) Lymph Nodes?

The prefemoral (subiliac) lymph node is located cranial to the tensor fasciae latae muscle in the flank fold, cranial and dorsal to the stifle. It drains the skin and subcutaneous tissues of the hindlimb, flank, and caudal abdomen. It is routinely palpated during physical examination; normal size is 3-5 cm, flat, mobile, and non-painful. Bilateral prefemoral lymph node enlargement in a horse with weight loss is highly suggestive of lymphosarcoma until proven otherwise.

Explore This Structure in 3D

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