Intra-abdominal venous flow pathways leading to engorged veins (varices) from portal hypertension. 1, Coronary vein; 2, superior hemorrhoidal veins; 3,

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Presentation transcript:

Intra-abdominal venous flow pathways leading to engorged veins (varices) from portal hypertension. 1, Coronary vein; 2, superior hemorrhoidal veins; 3, paraumbilical veins; 4, Retzius’ veins; 5, veins of Sappey; A, portal vein; B, splenic vein; C, superior mesenteric vein; D, inferior mesenteric vein; E, inferior vena cava; F, superior vena cava; G, hepatic veins; a, esophageal veins; a1, azygos system; b, vasa brevia; c, middle and inferior hemorrhoidal veins; d, intestinal; e, epigastric veins. Source: Liver, Schwartz's Principles of Surgery, 10e Citation: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz's Principles of Surgery, 10e; 2014 Available at: http://accessmedicine.mhmedical.com/DownloadImage.aspx?image=/data/books/980/bru_ch31_f014.png&sec=100401170&BookID=980&ChapterSecID=59610873&imagename= Accessed: October 12, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved