Coeliac plexus is located:
a. Anterolateral and around the aorta.
b. Posterolateral and around the aorta.
c. Anteromedial to lumbar sympathetic chain.
d. Posteromedial to lumbar sympathetic chain.
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 theviscera, 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[1] 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 pancreatitisis an important indication for celiac plexus ablation.
Answer:
c. Anteromedial to lumbar sympathetic chain.
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