A comprehensive study of the abdominal ganglia part 2: Aorticorenal ganglia.
aorticorenal ganglia
autonomic ganglia
autonomic ganglion
celiac ganglia
celiac ganglion
celiac ganglion block
ganglia celiac
ganglion autonomic
ganglion celiac
ganglion sympathetic
pancreatic pain
sympathetic ganglia
sympathetic ganglion
Journal
Clinical anatomy (New York, N.Y.)
ISSN: 1098-2353
Titre abrégé: Clin Anat
Pays: United States
ID NLM: 8809128
Informations de publication
Date de publication:
Oct 2022
Oct 2022
Historique:
revised:
12
07
2022
received:
17
09
2021
accepted:
12
07
2022
pubmed:
24
7
2022
medline:
16
9
2022
entrez:
23
7
2022
Statut:
ppublish
Résumé
Investigation into reports of pain treatment for abdominal cancer and abdominal pain syndromes revealed the lack of human studies on some of the abdominal sympathetic ganglia. Recent studies on renal artery denervation therapy as treatment for resistant hypertension has made the aorticorenal ganglia of particular importance. The aim of this study was to investigate the location, morphology, interconnections, and histological nature of aorticorenal ganglia. We dissected nine abdominal cavities and harvested 37 aorticorenal ganglia. Hematoxylin and Eosin, and Masson's staining techniques were used to study the histological structure. Additionally, ganglia harvested from five individuals were stained with immunohistochemical techniques to test for tyrosine hydroxylase activity. All aorticorenal ganglia were located in proximity to the renal artery, and the majority were close to the vessel origin. Identification of multiple aorticorenal ganglia was the norm, and ranged from 2 to 4 on the left and 1 to 3 on the right. While the pattern of aorticorenal ganglia seemed to be unique in each individual case, the interconnections between these and other ganglia were vast. The aorticorenal ganglia shared direct connections with the celiac, gonadal, inferior mesenteric, and first lumbar sympathetic trunk ganglion. Contributions from the greater, lesser, and least thoracic splanchnic nerves were also observed. While the results of our study may not have direct clinical implications in isolation, the vast number of interconnections with the other abdominal ganglia may cause complications in procedures such as celiac ganglion block. In addition, aorticorenal innervation interruption may lead to hypotension.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1007-1013Subventions
Organisme : St George's University Small Research Grant Initiative
ID : GSP-SRGI-17005
Informations de copyright
© 2022 American Association for Clinical Anatomists and the British Association for Clinical Anatomists.
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