Lymphonodi subiliaci
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.
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.
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
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
Neoplastic enlargement of peripheral lymph nodes, which may be generalized or localized. The prefemoral node is commonly affected in the multicentric form.
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
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
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)
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.
See the Prefemoral (Subiliac) Lymph Nodes on our interactive 3D horse model. Open 3D Model