CLINICAL IMPLICATIONS OF VARIATION IN THE VERTEBRAL LEVEL OF CELIAC GANGLION
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Abstract
Background-Celiac ganglia/plexus block is used in the management of chronic upper abdominal pain. Inconsistent result of the block may be due to the variation in the vertebral level of the celiac ganglion. The study was conducted with aim of finding the vertebral level of the ganglion in order to establish a predictable pattern for the neurolysis of celiac ganglion and plexus. Methods- Twenty formalin embalmed adult (seventeen male and three female) cadavers were dissected through a midline abdominal incision. Origin of celiac artery and superior mesenteric artery noted to assign the vertebral level of the ganglion on right and left side. Ganglion related to celiac artery were assigned the vertebral level of T12, and the ganglion related to superior mesenteric artery were assigned the vertebral level of L1. Results -. Thirty two out of forty ganglia (80%) were at the level of L1 and six ganglia (20%) were at the T12 vertebra. Conclusions- The data presented in this study shows the considerable variation in the vertebral level of the celiac ganglion.80% of celiac ganglion lie at the level of L1 and 20% lie at the level of T12.
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