Celiac plexus :
It
is the largest autonomic nerve
plexus of posterior abdominal wall which
unites with celiac ganglion
Why coeliac plexus is also known as solar plexus ?
because of its sun ray
like radiating nerve fibers
location of celiac trunk
at the level of T 12 and L
1 verterbra
It surrounds the coeliac artery & root
of superior mesenteric artery
• Celiac plexus present in front of the crus of the
diaphragm
• Celiac plexus
is situated posterior to stomach & lesser sac
• It lies medial to supra renal gland & above the
upper border of the pancreas
Formation of celiac plexus: Celiac plexus is formed by two celiac
ganglions and nerve fibres
•
Celiac
ganglion :
it has a larger upper part and smaller lower part also known as aorticorenal
ganglion
•
Nerve fibres
of the celiac plexus : 3 types of nerve fibres present in the celiac plexus
- Sympathetic fibre
- Parasympathetic fibre :
- General visceral afferent fibre
Sympathetic
fibre
• Greater splanchnic nerves joins the upper part of the celiac ganglion (it contain
preganglionic sympathetic fibres which synpse with celiac ganglion)
• lesser splanchnic nerves joins the aorticorenal ganglion ( it is also Preganglionic
sympathetic fibres which synapse with aorticorenal ganglion )
• after synapsing Postganglionic sympathetic fibres leave coeliac & aorticorenal ganglion
•
Parasympathetic
fibre : Preganglionic vagal fibres
•
General
visceral afferent fibre :
•
Sensory
phrenic fibres reach the plexus along the inferior phrenic artery
•
Primary
sensory sympathetic afferent fibers (red) shown in relation to posterior
horn tract cells (green) conveying visceral information to the thalamus
and to general visceral efferent neurons (blue).
•
Visceral afferents
in the coeliac plexus convey pain and sensation from upper abdomenal viscera
•
Clinical
anatomy : celiac plexus block
•
This method
might be done (often bilaterally) for pain relief in situations regarding
cancer of the stomach or pancreas .
Branches of celiac plexus
Number of secondary plexus arises from the celiac plexus
Number of secondary plexus arises from the celiac plexus
Hepatic
plexus
Left
gastric plexus
Splenic
plexus
Suprarenal
plexus
Renal
plexus
Testicular
plexus
Ovarian
plexus
Superior
mesenteric plexus
Summary of nerves of
celiac plexus
- Preganglionic and postganglionic sympathetic fibres
- Preganglionic parasympathetic (vagus nerve ) fibres
- General visceral afferent fibres
Youtube video: https://youtu.be/0vXM7pcsd8M