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Middle Anorectal Veins
Cardiovascular System

Middle Anorectal Veins

Venae anorectales mediae

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Quick Facts

Origin: Medial portion of anorectal venous plexus.

Course: Travels through the mesorectum to drain into the internal iliac vein.

Tributaries: Anorectal venous plexus.

Drainage: Medial third of rectum and mesorectum.

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The middle anorectal veins are formed in the anorectal venous plexus surrounding the anal canal and rectum.


The number and caliber of middle anorectal vessels are highly variable. They originate within the anorectal venous plexus and travel along the surface of levator ani to drain into the systemic circulation via the internal iliac veins.


The middle anorectal veins communicate with the external anorectal plexus. They may also receive tributaries from the bladder, seminal gland (or vesicle), and prostate in males, or the posterior portion of the vagina in females. They also form anastomoses with the superior and inferior anorectal veins through the anorectal venous plexus.

Structures Drained

They drain the middle one third of the rectum and mesorectum via the anorectal venous plexus and the muscularis externa of the ampulla of the anal canal.

Learn more about this topic from other Elsevier products


ScienceDirect image

Vein is a secreted ligand for the Drosophila EGFR receptor homolog (EGFR), and EGFR-mediated activation of the Ras/MAP kinase pathway is essential for longitduinal glial cell survival (Hidalgo et al., 2001).

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