Gonadal vein

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Gonadal vein
Gray1120.png
The relations of the viscera and large vessels of the abdomen (as seen from behind).
Details
Drains from Ovary, testicle
Source Renal vein, inferior vena cava
Artery Gonadal artery
Anatomical terminology

In medicine, gonadal vein refers to the blood vessel that carries blood away from the gonad (testis, ovary) toward the heart. These are different arteries in women (ovarian vein) and men (testicular vein), but share the same embryological origin. [1]

Contents

The termination of the two gonadal veins in an individual is usually asymmetrical, with the left one draining into the left renal vein, and the right one draining into the inferior vena cava.

Structure

Fate

The left gonadal vein usually empties into (inferior aspect of) [2] the ipsilateral renal vein [2] [3] :1144 proximally to where the renal vein crossing over the aorta. [2]

The right gonadal vein typically empties directly into the (right anterolateral aspect of) inferior vena cava, joining it at an acute angle, some 2 cm inferior to the ipsilateral renal vein. Occasionally (in about 6% of individuals [2] ), it empties into the ipsilateral renal vein [3] :1144 like its contralateral fellow. [2]

Variation

In the lower abdomen, there may be multiple vessels instead of a single gonadal vein. Sometimes, these vessels do not converge into a single unified gonadal vein superiorly, instead terminating as two separate vessels on either side. [3] :1144

Clinical significance

Prolonged venous insufficiency of gonadal veins may lead to an increase in lower limb varicose vein formation in both sexes. [4]

Related Research Articles

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<span class="mw-page-title-main">Brachiocephalic vein</span> Vein

The left and right brachiocephalic veins are major veins in the upper chest, formed by the union of the ipsilateral internal jugular vein and subclavian vein behind the sternoclavicular joint. The left brachiocephalic vein is more than twice the length of the right brachiocephalic vein.

<span class="mw-page-title-main">Superior vena cava</span> One of two veinous trunks bringing deoxygenated blood back to the heart

The superior vena cava (SVC) is the superior of the two venae cavae, the great venous trunks that return deoxygenated blood from the systemic circulation to the right atrium of the heart. It is a large-diameter (24 mm) short length vein that receives venous return from the upper half of the body, above the diaphragm. Venous return from the lower half, below the diaphragm, flows through the inferior vena cava. The SVC is located in the anterior right superior mediastinum. It is the typical site of central venous access via a central venous catheter or a peripherally inserted central catheter. Mentions of "the cava" without further specification usually refer to the SVC.

<span class="mw-page-title-main">Inferior vena cava</span> One of two veinous trunks bringing deoxygenated blood back to the heart

The inferior vena cava is a large vein that carries the deoxygenated blood from the lower and middle body into the right atrium of the heart. It is formed by the joining of the right and the left common iliac veins, usually at the level of the fifth lumbar vertebra.

<span class="mw-page-title-main">Azygos vein</span> Human blood vessel by the spine

The azygos vein is a vein running up the right side of the thoracic vertebral column draining itself towards the superior vena cava. It connects the systems of superior vena cava and inferior vena cava and can provide an alternative path for blood to the right atrium when either of the venae cavae is blocked.

<span class="mw-page-title-main">Abdominal aorta</span> Largest artery in the abdomen

In human anatomy, the abdominal aorta is the largest artery in the abdominal cavity. As part of the aorta, it is a direct continuation of the descending aorta.

<span class="mw-page-title-main">Renal artery</span> Vessel supplying blood to kidney

The renal arteries are paired arteries that supply the kidneys with blood. Each is directed across the crus of the diaphragm, so as to form nearly a right angle.

<span class="mw-page-title-main">Renal vein</span> Short thick veins which return blood from the kidneys to the vena cava

The renal veins in the renal circulation, are large-calibre veins that drain blood filtered by the kidneys into the inferior vena cava. There is one renal vein draining each kidney. Each renal vein is formed by the convergence of the interlobar veins of one kidney.

<span class="mw-page-title-main">Common iliac vein</span> Veins draining blood from the pelvis and lower limbs

In human anatomy, the common iliac veins are formed by the external iliac veins and internal iliac veins. The left and right common iliac veins come together in the abdomen at the level of the fifth lumbar vertebra, forming the inferior vena cava. They drain blood from the pelvis and lower limbs.

<span class="mw-page-title-main">Hepatic veins</span> One of two sets of veins connected to the liver

In human anatomy, the hepatic veins are the veins that drain venous blood from the liver into the inferior vena cava. There are usually three large upper hepatic veins draining from the left, middle, and right parts of the liver, as well as a number (6-20) of lower hepatic veins. All hepatic veins are valveless.

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The coronary sinus is the largest vein of the heart. It drains over half of the deoxygenated blood from the heart muscle into the right atrium. It begins on the backside of the heart, in between the left atrium, and left ventricle; it begins at the junction of the great cardiac vein, and oblique vein of the left atrium. It receives multiple tributaries. It passes across the backside of the heart along a groove between left atrium and left ventricle, then drains into the right atrium at the orifice of the coronary sinus.

<span class="mw-page-title-main">Inferior phrenic arteries</span>

The inferior phrenic artery is a bilaterally paired artery of the abdominal cavity which represents the main source of arterial supply to the diaphragm. Each artery usually arises either from the coeliac trunk or the abdominal aorta, however, their origin is highly variable and the different sites of origin are different for the left artery and right artery. The superior suprarenal artery is a branch of the inferior phrenic artery.

<span class="mw-page-title-main">Middle suprarenal arteries</span> Arteries of the abdomen

The middle suprarenal artery is a paired artery in the abdomen. It is a branch of the aorta. It supplies the adrenal gland.

<span class="mw-page-title-main">Testicular artery</span> Branch of the abdominal aorta that supplies blood to the testicle

The testicular artery is a branch of the abdominal aorta that supplies blood to the testicle. It is a paired artery, with one for each of the testicles.

<span class="mw-page-title-main">Ovarian vein</span>

The ovarian vein, the female gonadal vein, carries deoxygenated blood from its corresponding ovary to inferior vena cava or one of its tributaries. It is the female equivalent of the testicular vein, and is the venous counterpart of the ovarian artery. It can be found in the suspensory ligament of the ovary.

<span class="mw-page-title-main">Testicular vein</span>

The testicular vein, the male gonadal vein, carries deoxygenated blood from its corresponding testis to the inferior vena cava or one of its tributaries. It is the male equivalent of the ovarian vein, and is the venous counterpart of the testicular artery.

<span class="mw-page-title-main">Lumbar veins</span> Veins that drain the posterior abdominal wall

The lumbar veins are four pairs of veins running along the inside of the posterior abdominal wall, and drain venous blood from parts of the abdominal wall. Each lumbar vein accompanies a single lumbar artery. The lower two pairs of lumbar veins all drain directly into the inferior vena cava, whereas the fate of the upper two pairs is more variable.

<span class="mw-page-title-main">Pampiniform plexus</span> Vein network in humans

The pampiniform plexus is a venous plexus – a network of many small veins found in the human male spermatic cord, and the suspensory ligament of the ovary. In the male, it is formed by the union of multiple testicular veins from the back of the testis and tributaries from the epididymis.

<span class="mw-page-title-main">Posterior cardinal vein</span>

The posterior cardinal veins or postcardinal veins join with the corresponding right and left cardinal veins to form the left common cardinal veins, which empty in the sinus venosus. In the development of a human embryo, most of the posterior cardinal veins regress, and what remains of them forms the renal segment of the inferior vena cava and the common iliac veins. Later in the development stages, the posterior cardinal veins are replaced by the subcardinal and supracardinal veins. The subcardinal veins form part of the inferior vena cava, the renal veins and the gonadal veins. The supracardinal veins form part of the inferior vena cava, the intercostal veins, the hemiazygos vein and the azygos vein.

<span class="mw-page-title-main">Venae cavae</span> Large veins which return blood from the body into the heart

In anatomy, the venae cavae are two large veins that return deoxygenated blood from the body into the heart. In humans they are the superior vena cava and the inferior vena cava, and both empty into the right atrium. They are located slightly off-center, toward the right side of the body.

References

  1. Sperling, David C. (2020-01-01), Jain, Krishna M. (ed.), "Chapter 34 - Other Endovascular Procedures and Embolization", Office-Based Endovascular Centers, Elsevier, pp. 273–285, ISBN   978-0-323-67969-5 , retrieved 2021-02-04
  2. 1 2 3 4 5 Bowdino, Cole S.; Owens, Justin; Shaw, Palma M. (2022), "Anatomy, Abdomen and Pelvis, Renal Veins", StatPearls, Treasure Island (FL): StatPearls Publishing, PMID   30855882 , retrieved 2022-08-04
  3. 1 2 3 Gray's anatomy : the anatomical basis of clinical practice. Susan Standring (Forty-second ed.). [New York]. 2021. ISBN   978-0-7020-7707-4. OCLC   1201341621.{{cite book}}: CS1 maint: location missing publisher (link) CS1 maint: others (link)
  4. Allcorn, Tamara (September 2014). "Pelvic insufficiency: a deeper look at female and male gonadal vein incompetence: Female and male gonadal vein incompetence". Sonography. 1 (1): 12–18. doi: 10.1002/sono.12005 . S2CID   206505480.