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Celiac plexus

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This is an old revision of this page, as edited by Iṣṭa Devatā (talk | contribs) at 22:47, 10 March 2015 (Anahata is the heart chakra, Manipura is the solar plexus chakra (though sometimes placed near the navel)). The present address (URL) is a permanent link to this revision, which may differ significantly from the current revision.

Celiac plexus
The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Label for celiac plexus at center right.)
The celiac ganglia with the sympathetic plexuses of the abdominal viscera radiating from the ganglia. (Label for celiac plexus at top center.)
Details
Fromceliac branches of vagus nerve
Identifiers
Latinplexus coeliacus
MeSHD002447
TA98A14.3.03.021
TA26696
FMA6630
Anatomical terms of neuroanatomy

The celiac plexus or coeliac plexus, also known as the solar plexus because of its radiating nerve fibers,[1] is a complex network of nerves (a nerve plexus) located in the abdomen, where the celiac trunk, superior mesenteric artery, and renal arteries branch from the abdominal aorta is located. It is behind the stomach and the omental bursa, and in front of the crura of the diaphragm, on the level of the first lumbar vertebra.

The plexus is formed (in part) by the greater and lesser splanchnic nerves of both sides, and fibers from the anterior and posterior vagal trunks.

The celiac plexus proper consists of the celiac ganglia with a network of interconnecting fibers. The aorticorenal ganglia are often considered to be part of the celiac ganglia, and thus, part of the plexus.

Approximate location of the celiac plexus on the coronal plane

The celiac plexus includes a number of smaller plexuses:

Other plexuses that are derived from the celiac plexus:

Clinical significance

Lower half of right sympathetic cord

The celiac plexus is often popularly referred to as the solar plexus, generally in the context of a blow to the stomach. In many of these cases, it is not the celiac plexus itself being referred to, but rather the region where it is located. A blow to the stomach can upset this region. This can cause the diaphragm to spasm, resulting in difficulty in breathing—a sensation commonly known as "getting the wind knocked out of you". A blow to this region can also affect the celiac plexus itself, possibly interfering with the functioning of the viscera, as well as causing great pain.

A celiac plexus block by means of fluoroscopically guided injection is sometimes used to treat intractable pain from cancers[2] such as pancreatic cancer. Frequently, celiac plexus block is performed by pain management specialists and radiologists, with CT scans for guidance. Intractable pain related to chronic pancreatitis is an important indication for celiac plexus ablation.

See also

References

  1. ^ http://www.merriam-webster.com/dictionary/solar+plexus.
  2. ^ Garcia-Eroles X, Mayoral V, Montero A, Serra J, Porta J (2007). "Celiac plexus block: a new technique using the left lateral approach". The Clinical journal of pain. 23 (7): 635–7. doi:10.1097/AJP.0b013e31812e6aa8. PMID 17710015.{{cite journal}}: CS1 maint: multiple names: authors list (link)