Hemorrhoidal plexus

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Vein: Hemorrhoidal plexus
Scheme of the anastomosis of the veins of the rectum.
The veins of the right half of the male pelvis.
Latin plexus venosus rectalis, plexus haemorrhoidalis
Gray's subject #173 676
Dorlands/Elsevier p_24/12648664

The hemorrhoidal plexus (or rectal venous plexus) surrounds the rectum, and communicates in front with the vesical plexus in the male, and the uterovaginal plexus in the female. It consists of two parts, an internal in the submucosa, and an external outside the muscular coat.

The internal plexus presents a series of dilated pouches which are arranged in a circle around the tube, immediately above the anal orifice, and are connected by transverse branches.

The lower part of the external plexus is drained by the inferior hemorrhoidal veins into the internal pudendal vein; the middle part by the middle hemorrhoidal vein which joins the hypogastric vein; and the upper part by the superior hemorrhoidal vein which forms the commencement of the inferior mesenteric vein, a tributary of the portal vein. A free communication between the portal and systemic venous systems is established through the hemorrhoidal plexus.

The veins of the hemorrhoidal plexus are contained in very loose, connective tissue, so that they get less support from surrounding structures than most other veins, and are less capable of resisting increased blood-pressure.

This article was originally based on an entry from a public domain edition of Gray's Anatomy. As such, some of the information contained herein may be outdated. Please edit the article if this is the case, and feel free to remove this notice when it is no longer relevant.


Veins edit

superficial - deep - venae comitantes - venous sinuses - pulmonary | (Gray's s164-Gray's s165)

heart: coronary sinus - great cardiac - left marginal - small cardiac - right marginal - middle cardiac - posterior of the left ventricle - oblique of the left atrium - anterior cardiac | (Gray's s166)

exterior of the head and face: frontal - supraorbital - angular - anterior facial - common facial - deep facial - superficial temporal - posterior facial - transverse facial - pterygoid - internal maxillary - posterior auricular - occipital | (Gray's s167)

veins of the neck: external jugular - sinus - posterior external jugular - anterior jugular - internal jugular - inferior petrosal sinus - lingual - ranine - pharyngeal - superior thyroid - middle thyroid - vertebral - deep cervical | (Gray's s168)

diploic/veins of the brain: cerebral - superior cerebral - middle cerebral - inferior cerebral - basal - internal cerebral - great cerebral - cerebellar | (Gray's s169-Gray's s170)

sinuses of the dura mater: superior sagittal - inferior sagittal - straight - transverse - sigmoid - petrosquamous - occipital - confluence - cavernous | (Gray's s171)

ophthalmic: superior ophthalmic - nasofrontal - inferior ophthalmic - intercavernous sinuses - superior petrosal sinus - basilar - emissary | (Gray's s171)

upper extremity: superficial (cephalic - median cubital - accessory cephalic - basilic - median antebrachial) - deep (radial - ulnar - brachial - axillary) | (Gray's s172)

thorax: subclavian - brachiocephalic - internal thoracic - superior phrenic - inferior thyroid - intercostal (supreme - superior - posterior) - superior vena cava - azygos - hemiazygos - accessory hemiazygos - bronchial | (Gray's s172)

vertebral column: external vertebral venous plexuses - internal vertebral venous plexuses - basivertebral - intervertebral - of the medulla spinalis | (Gray's s172)

lower extremity: common digital - great saphenous - thoracoepigastric - small saphenous - plantar digital - posterior tibial - peroneal - anterior tibial - popliteal - femoral - profunda femoris | (Gray's s173)

abdomen and pelvis: external iliac - inferior epigastric - internal iliac - superior gluteal - inferior gluteal - internal pudendal - hemorrhoidal - pudendal - dorsal of the penis - common iliac - inferior vena cava - spermatic - ovarian - renal - suprarenal - inferior phrenic - hepatic | (Gray's s173)

portal system: portal - splenic - short gastric - left gastroepiploic - pancreatic - inferior mesenteric - superior rectal - superior mesenteric - right gastroepiploic - pancreaticoduodenal | (Gray's s174)

fetal: ductus venosus - umbilical | (Gray's s139)