Venous Drainage of the Abdomen Flashcards

1
Q

What are the two venous systems that drain abdominal structures called?

A

The portal venous system.
The systemic venous sytem.

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2
Q

what is the role of the systemic venous system? and what is its major vessel?

A

transports deoxygenated blood to the right atrium of the heart.
IVC.

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3
Q

what is the anatomical position of the IVC?

A

located on the posterior abdominal wall; anteriorly to the vertebral column and to the right of the abdominal aorta.

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4
Q

What structures does the IVC drain?

A

all structures below the diaphragm.

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5
Q

Which structures are drained first by the portal venous system?

A

spleen
pancreas
gallbladder
abdominal GI tract

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6
Q

what is the role of the portal venous system?

A

carries venous blood (rich in nutrients that have been extracted from food) to the liver for processing.

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7
Q

what is the major vessel of the portal venous system?

A

portal vein

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8
Q

how is the portal vein formed?

A

by the union of the splenic vein and SM vein posterior to the neck of the pancreas at the level L2

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9
Q

Describe the oesophageal porto-systemic anastomoses.

A

between the oesophageal branch of the left gastric vein and the oesophageal tributaries to the azygous system.

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10
Q

describe the rectal porto-systemic anastomoses.

A

between the superior rectal vein and the inferior rectal veins.

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11
Q

describe the retroperitoneal porto-systemic anastomoses

A

between the portal tributaries of the mesenteric veins and the retroperitoneal veins.

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12
Q

what is a porto-systemic anastomoses?

A

a connection between the veins of the portal venous system, and the veins of the systemic venous system.

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13
Q

label this abdominal venous drainage

A
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14
Q

what vessels merge to form the IVC and at which vertebral level does this occur

A

left and right common iliac veins at L5

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15
Q

where does the inferior mesenteric vein drain to?

A

splenic vein

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16
Q

what are the four sites of portal-systemic anastomoses?

A
  1. anorectal junction
  2. gastro-oesophageal junction
  3. paraumbilical
  4. retroperitoneal
17
Q

what is the clinical relevance of the sites of porto-systemic anastomoses?

A

varices or haemorrhoids can form here due to portal hypertension