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The objective of this study was to identify and examine a common vein in the portal system that is not consistently named, and when named, to assess whether fundamental concepts were applied in the process of naming. Essentially, the portal venous system drains 3 regions of the gastrointestinal system into 3 major veins (superior mesenteric - SMV, splenic - SV, and inferior mesenteric - IMV) ultimately forming the portal vein (PV). The SMV is formed from midgut veins generally representing the right side of the abdomen. The IMV is formed from hindgut veins generally representing the left side of the lower abdomen and pelvis, classically draining into the SV. The SV is formed from the foregut veins and generally accepts the IMV. The SV then joins the superior mesenteric vein to become the PV.

Splenomesenteric vein: formally recognising a clinically relevant section of the portal venous drainage system