Femoral vein

Vein: Femoral vein
Drawing of the left femoral triangle - shows superior portion of the femoral vein.
The femoral vein and its tributaries.
Latin	vena femoralis
Gray's	subject #173 672
Source	popliteal, profunda femoris, great saphenous
Drains to	external iliac vein
Artery	femoral artery
MeSH	Femoral+Vein

In the human body, the femoral vein is a blood vessel that accompanies the femoral artery in the femoral sheath. It begins at the adductor canal (also known as Hunter's canal) and is a continuation of the popliteal vein. It ends at the inferior margin of the inguinal ligament, where it becomes the external iliac vein.

Drainage

Several large veins drain into the femoral vein:

• popliteal vein
• profunda femoris vein
• great saphenous vein

Clinical significance

Occlusion of the femoral vein can be life-threatening.^[1]

The practice of delivering recreational drugs intravenously using the femoral vein is relatively common amongst injecting drug users (IDUs).^[2]

Use of the term superficial femoral vein

The term superficial femoral vein is not recognized as a legitimate anatomic term.^[3]

However, some specialist physicians (e.g. radiologists, and orthopaedic/vascular surgeons) use the term superficial femoral vein for the distal part of the femoral vein to:

1. differentiate the femoral vein segments before and after the profunda femoris vein joins with it, and
2. differentiate the distal segment of the femoral vein from the deep femoral vein (profunda femoris vein), which is paired with the profunda femoris artery.

Usage of this term is discouraged by many physicians because it leads to confusion among general medical practitioners.^[1]

The femoral vein is considered a deep vein, unlike the adjective superficial suggests and has led some physicians to falsely conclude it is a superficial vein, which has resulted in patients (with deep vein thrombosis) being denied efficacious anticoagulant or thrombolytic therapy.^[3]

Additional images

• 

  Structures surrounding right hip-joint.

• 

  Cross-section through the middle of the thigh.

• 

  Femoral sheath laid open to show its three compartments.

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  The femoral artery.

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  The spermatic cord in the inguinal canal.

References

1. ^ ^{a b} Bundens WP, Bergan JJ, Halasz NA, Murray J, Drehobl M. The superficial femoral vein. A potentially lethal misnomer. JAMA. 1995 Oct 25;274(16):1296-8. PMID 7563535.
2. ^ Maliphant J, Scott J. Use of the femoral vein ('groin injecting') by a sample of needle exchange clients in Bristol, UK. Harm Reduction Journal 2005, 2:6. Free Full Text.
3. ^ ^{a b} Hammond I. The superficial femoral vein. Radiology. 2003 Nov;229(2):604; discussion 604-6. PMID 14595157. Full Text.

External links

• Gray's s157 - "The Arteries of the Lower Extremity"
• SUNY Figs 12:05-01 - "Veins of the lower extremity shown in association with major landmarks."
• Cross section at UV pelvis/pelvis-e12-15