Hepatic portal vein

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Vein: Hepatic portal vein
The portal vein and its tributaries. It is formed by the superior mesenteric vein and splenic vein. Leinal vein is an old term for splenic vein.
Longitudinal section of a small portal vein and canal.
Latin	vena portae hepatis
Gray's	subject #174 681
Source	splenic vein, superior mesenteric vein
Drains to	liver
MeSH	Portal+Vein
Dorlands / Elsevier	v_05/12851372

The hepatic portal vein (often portal vein for short) is a portal vein in the human body that drains blood from the digestive system and its associated glands. It is one of the main components of the hepatic portal venous system.

Structure

It is formed by the union of the

• splenic vein and
• superior mesenteric vein

and divides into a right and a left branch before entering the liver.

Note that the portal vein drains blood into the liver, not from the liver. The blood entering the liver from the portal vein, after being cleaned by the liver, flows into the inferior vena cava via the hepatic veins. The inferior mesenteric vein usually does not directly connect to the hepatic portal vein; it drains into the splenic vein.

Portal vein branches into many generation of vessels that open into hepatic sinusoids. Blood is recollected into the hepatic vein and enters the inferior vena cava.

Tributaries

The tributaries of the hepatic portal vein include:

• Left gastric vein and right gastric vein
• Superior mesenteric vein
• Splenic vein

Physiology

Almost all of the blood coming from the digestive system drains into a special venous circulation called the portal circulation. This is because it contains all the nutrients and toxins that have been absorbed along the digestive tract from ingested food. Before these absorbed substances can go into the systemic circulation (the main blood circulation in the body), it must be filtered first to remove or "detoxify" toxic substances first. This filtering and detoxification is one of the functions of the liver.

Role in disease

Increased blood pressure in the portal vein, portal hypertension, occurs in liver disease (mainly cirrhosis), and may lead to various complications (ascites, esophageal varices, spontaneous bacterial peritonitis). A disruption of the hypothalamo-pituitary portal veins is referred to as Pickardt syndrome (suprasellar failure).

Portacaval anastomosis

The portal venous system has several anastomoses (portacaval anastomosis) with the systemic venous system. These are of consequence because in cases of portal hypertension these anastamoses may become engorged, dilated, or varicosed and subsequently rupture.

See also

• Portal vein
• Portal venous system

Additional images

Human embryo with heart and anterior body-wall removed to show the sinus venosus and its tributaries.	The celiac artery and its branches; the stomach has been raised and the peritoneum removed.	The celiac ganglia with the sympathetic plexuses of the abdominal viscera radiating from the ganglia.	Horizontal disposition of the peritoneum in the upper part of the abdomen.
Inferior surface of the liver.	Section across portal canal of pig. X 250.	The pancreas and duodenum from behind.	The pancreatic duct.
Liver and gallbladder

External link

• SUNY Labs 38:12-0109 - "Stomach, Spleen and Liver: The Visceral Surface of the Liver"
• SUNY Anatomy Image 7959
• SUNY Anatomy Image 8565
• SUNY Anatomy Image 8697
• Cross section at UV pembody/body8a
• Human anatomy at Dartmouth figures/chapter_30/30-2.HTM

v • d • e Cardiovascular system
Systemic circulation	Heart  → Aorta → Arteries → Arterioles → Capillaries → Venules → Veins → Vena cava → Heart
Pulmonary circulation	Heart → Pulmonary arteries → Lungs → Pulmonary vein → Heart

v • d • e Veins of the torso
Coronary	coronary sinus (great cardiac, left marginal, small cardiac, middle cardiac, posterior of the left ventricle, oblique of the left atrium) • anterior cardiac (right marginal) • pulmonary
Thorax/ SVC	brachiocephalic: inferior thyroid - thymic - internal thoracic (anterior intercostal, superior epigastric) - left superior intercostal - supreme - vertebral - internal jugular - subclavian (axillary: lateral thoracic, thoracoepigastric) - pericardiacophrenic azygos: right superior intercostal - bronchial - intercostal/posterior intercostal 5-11 - accessory hemiazygos/hemiazygos - superior phrenic
Vertebral column	vertebral venous plexuses (external, internal) • spinal (posterior, anterior) • basivertebral • intervertebral
Abdomen/ IVC	to IVC on right and left: renal - hepatic - lumbar to IVC on right, renal vein on left: inferior phrenic - suprarenal - ovarian/testicular (pampiniform plexus) to azygos system: ascending lumbar (subcostal)
Pelvis/common iliac	external iliac: inferior epigastric - deep circumflex iliac vein internal iliac: inferior gluteal - superior gluteal - median sacral vein - lateral sacral - obturator - internal pudendal (inferior rectal) - vesical venous plexus - prostatic venous plexus - deep of penis - vaginal venous plexus - uterine venous plexus - middle rectal - hemorrhoidal
Portal system/ portal vein	splenic: short gastric - left gastroepiploic - pancreatic - inferior mesenteric (superior rectal, left colic) superior mesenteric: right gastroepiploic - pancreaticoduodenal - middle colic - right colic - ileocolic (appendicular) direct (cystic, left gastric, right gastric, paraumbilical)
fetal	ductus venosus • umbilical

de:Pfortadernl:Leverpoortader