Hemorrhoidal plexus

The hemorrhoidal plexus (or rectal venous plexus) surrounds the rectum, and communicates in front with the vesical plexus in the male, and the uterovaginal plexus in the female.

A free communication between the portal and systemic venous systems is established through the hemorrhoidal plexus.

Parts
It consists of two parts, an internal in the submucosa, and an external outside the muscular coat.

Internal plexus
The internal plexus presents a series of dilated pouches which are arranged in a circle around the tube, immediately above the anal orifice, and are connected by transverse branches.

External plexus

 * The lower part of the external plexus is drained by the inferior rectal veins into the internal pudendal vein


 * The middle part of the external plexus is drained by the middle rectal vein which joins the internal iliac vein.


 * The upper part of the external plexus is drained by the superior rectal vein which forms the commencement of the inferior mesenteric vein, a tributary of the portal vein.

Support
The veins of the hemorrhoidal plexus are contained in very loose, connective tissue, so that they get less support from surrounding structures than most other veins, and are less capable of resisting increased blood-pressure.