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词条 External iliac vein
释义

  1. Structure

  2. Clinical significance and history

  3. Additional images

  4. References

  5. External links

{{Use American English|date = January 2019}}{{Short description|Blood vessels connecting the thigh veins to the pelvis}}{{Use mdy dates|date = January 2019}}{{Infobox vein
| Name = External iliac vein
| Latin = vena iliaca externa
| Image = Iliac_veins.gif
| Caption = Veins of the abdomen and lower limb - inferior vena cava, common iliac vein, external iliac vein, internal iliac vein, femoral vein and their tributaries. The aorta and its bifurcation (unlabeled) appear in red.
| Image2 = Gray547.png
| Caption2 = The relations of the femoral and abdominal inguinal rings, seen from within the abdomen. Right side. (External iliac vein is large vein at center.)
| DrainsFrom =
| Source = femoral veins
| DrainsTo = common iliac vein
| Artery = external iliac arteries
}}

The external iliac veins are large veins that connect the femoral veins to the common iliac veins. Their origin is at the inferior margin of the inguinal ligaments and they terminate when they join the internal iliac veins (to form the common iliac veins).

Both external iliac veins are accompanied along their course by external iliac arteries.

Structure

A continuation of the femoral vein,[1] the external iliac vein starts at the level of the inguinal ligament.[2] It runs beside its corresponding artery and along the brim of the lesser pelvis to unite with the internal iliac vein anterior to the sacroiliac joint where it forms the common iliac vein.[3]

The left external iliac vein remains medial to the artery along its whole path. The right external iliac vein is medial to the artery, but as it ascends, it runs posterior to it.[2]

The external iliac vein is crossed by the ureter and internal iliac artery which both extend towards the middle. In males it is crossed by the vas deferens and in females the round ligament and ovarian vessels cross it. Psoas major lies to its side, except where the artery intervenes.[4]

The external iliac vein may have one valve, but often has no valves.[2]

In addition to pubic veins, the main tributaries of the external iliac veins are the inferior epigastric veins and the deep circumflex iliac vein.[4]

Clinical significance and history

In 1967, Cockett noted anatomical variations which predisposed to compression of the external iliac vein, amongst other veins. Although less common than May-Thurner syndrome, it is being progressively documented due to modern imaging methods. Compression of the left external iliac vein by the right common iliac artery or left hypogastric artery can occur as it crosses over the vein into the pelvis. The right external iliac vein can similarly be compressed. Such compressions may contribute to deep vein thrombosis.[5]

Failure to develop or agenesis of the external iliac vein has been described in association with Klippel–Trenaunay syndrome [4]

Additional images

References

1. ^{{cite book|url=https://books.google.com/books?id=4ihGmxzamekC|title=Last's Anatomy: Regional and Applied|author=Sinnatamby|first=Chummy S.|publisher=Churchill Livingstone Elsevier|year=2011|isbn=0-7020-4839-9|edition=12th|location=|place=Great Britain|pages=309|chapter=5|accessdate=16 March 2018}}
2. ^{{cite book|last1=Mozes|first1=Geza|last2=Gloviczki|first2=Peter|editor=John J. Bergan & Nisha Bunke-Paquette|others=|title=The Vein Book|url=https://books.google.com/books?id=X0SeAgAAQBAJ&pg=PA21|edition=2nd|date=2014|publisher=Oxford University Press|place=New York|isbn=978-0-19-539963-9|page=21}}
3. ^{{cite book|editor=James C Reynolds|last1=Netter|first1=Frank H.|title=The Netter Collection of Medical Illustrations: Digestive System: Part I - The Upper Digestive Tract|url=https://books.google.com/books?id=hhrYCwAAQBAJ&pg=PA35|edition=2nd|volume=9|date=2017|publisher=Elsevier|place=Philadelphia|isbn=978-0-323-38936-5|page=35}}
4. ^{{cite book|url=https://books.google.com/books?id=b7FVCgAAQBAJ&pg=PA1228|title=Gray's Anatomy: The Anatomical Basis of Clinical Practice|last=Delancey|first=John O.L.|publisher=Elsevier|year=2016|isbn=978-0-7020-6851-5|editor=Standring|editor-first=Susan|edition=41st|location=|pages=1221–1236|chapter=73, True pelvis, pelvic floor and perineum|accessdate=}}
5. ^{{cite book|last1=DeRubertis|first1=Brian|last2=Patel|first2=Rhasheet|editor=Cassius Iyad Ochoa Chaar|title=Current Management of Venous Diseases|url=https://books.google.com/books?id=G2dCDwAAQBAJ|accessdate=|year=2017|publisher=Springer International Publishing|isbn=978-3-319-65226-9|pages=464–465|chapter=35, May-Thurner Syndrome: Diagnosis and Management}}

External links

  • {{GraySubject|157}} - "The arteries of the lower extremity"
  • {{GraySubject|173}} - "The veins of the lower extremity, abdomen, and pelvis"
  • {{NormanAnatomy|pelvis}} ({{NormanAnatomyFig|pelvicarteries}})
{{Veins}}{{Authority control}}

4 : Veins of the torso|Angiology|Anatomy|Veins

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