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The internal jugular vein is a paired jugular vein that collects blood from the brain and the superficial parts of the face and neck. This vein runs in the carotid sheath with the common carotid artery and vagus nerve. It begins in the posterior compartment of the jugular foramen, at the base of the skull.
The left and right external jugular veins drain into the subclavian veins. The internal jugular veins join with the subclavian veins more medially to form the brachiocephalic veins. Finally, the left and right brachiocephalic veins join to form the superior vena cava, which delivers deoxygenated blood to the right atrium of the heart. [2]
Typically, there are two trunks - one on each side of the body. The right bronchomediastinal trunk may connect the right lymphatic duct, and the left trunk to the thoracic duct, [1] although more frequently, they open independently into the junction of the internal jugular vein and subclavian veins on their respective sides.
Diagram showing parts of the body that drain into the right lymphatic duct. The right duct drains lymph fluid from: the upper right section of the trunk, (right thoracic cavity, via the right bronchomediastinal trunk) [1] the right arm (via the right subclavian trunk) [1] and right side of the head and neck (via the right jugular trunk) [1]
The carotid sheath is a condensation of the deep cervical fascia [1]: 578 enveloping multiple vital neurovascular structures of the neck, [2] including the common and internal carotid arteries, the internal jugular vein, the vagus nerve (CN X), and ansa cervicalis. [1]: 578 [2] The carotid sheath helps protects the structures contained therein. [2]
The first sign of a malignancy, especially an intra-abdominal one, may be an enlarged Virchow's node, a lymph node in the left supraclavicular area, in the vicinity where the thoracic duct empties into the left brachiocephalic vein, right between where the left subclavian vein and left internal jugular join (i.e., the left Pirogoff angle).
On the left side, however, the left internal jugular vein approaches and often overlaps the lower part of the artery. Behind the angle of bifurcation of the common carotid artery is a reddish-brown oval body known as the carotid body. It is similar in structure to the coccygeal body which is situated on the median sacral artery.
The small veins merge to feed as tributaries into medium-sized veins. The medium veins feed into the large veins which include the internal jugular, and renal veins, and the venae cavae that carry the blood directly into the heart. [13] The venae cavae enter the right atrium of the heart from above and below.