THE VEINS OF THE PELVIC LIMB

The =external iliac vein= (V. iliaca externa) (Figs. 450, 451) lies

behind the corresponding artery at the brim of the pelvis. It is the

upward continuation of the femoral vein, and unites at the sacro-iliac

joint with the internal iliac to form the common iliac vein. Its

tributaries are as follows:

1. The =obturator vein= (V. obturatoria) is a satellite of the artery

and usually opens into the external iliac at the insertion of the psoas

minor. Its radicles anastomose with those of the internal and external

pudic veins (Figs. 451, 455).

2. The =iliaco-femoral= or =external circumflex veins= (Vv. circumflexæ

femoris laterales) are the two satellites of the homonymous artery. They

open a little higher than the obturator.

The =femoral vein= (Figs. 450, 451) lies behind the artery in the upper

part of the thigh, external to it lower down. Its chief tributaries are:

1. A very large but short trunk formed by the union of the deep femoral

and the external pudic vein. The =deep femoral vein= (V. profunda

femoris) corresponds otherwise to the artery. The =external pudic vein=

(V. pudenda externa) arises chiefly from a rich plexus of large veins

situated above and along the sides of the penis and prepuce in the male,

the mammary glands in the female. It passes through a foramen in the

anterior part of the tendon of origin of the gracilis and runs outward

in the subpubic groove behind the pectineus to unite with the deep

femoral vein. The right and left veins are connected by a large

transverse anastomosis and each has a large connection with the

obturator vein. Each receives the =posterior abdominal vein= (V.

epigastrica caudalis) which accompanies the artery of like name. The

=subcutaneous abdominal vein= (V. abdominalis subcutanea) arises in the

skin and panniculus of the ventral abdominal wall, anastomoses with the

internal and external thoracic and deep abdominal veins, and joins the

external pudic or posterior abdominal vein.

A small vein accompanies the external pudic artery in the inguinal

canal.

2. The =anterior femoral vein= (V. femoris cranialis) accompanies the

artery.

3. The =saphenous vein= (V. saphena) (Figs. 451, 458, 460) arises at the

inner side of the flexion surface of the tarsus as the upward

continuation of the internal metatarsal vein. Its course is distinctly

visible. It ascends on the subcutaneous surface of the tibia and the

popliteus muscle, inclosed between layers of the deep fascia, inclines a

little backward to the proximal part of the leg, then deviates slightly

forward, runs upward on the gracilis, passes between that muscle and the

sartorius, and joins the femoral or the external pudic vein.[173] On the

upper part of the capsule of the hock joint it forms an arch with the

anterior tibial vein. The vein has numerous valves. The satellite artery

is relatively small and lies in front of the vein as far as the junction

with the recurrent tibial vein, which it accompanies on the leg. It

receives the =recurrent tibial vein= (V. recurrens tibialis)[174] at the

proximal fourth of the leg. This vessel arises at the inner surface of

the tarsus and forms an arch with the posterior tibial vein at the level

of the tuber calcis. It ascends in the furrow in front of the

gastrocnemius tendon, inclines forward at the proximal third of the leg,

and joins the saphenous vein at an acute angle. It has numerous valves.

A smaller vein from the anterior face of the metatarsus joins the

saphenous at the hock.

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