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How can the anatomical position of the superior hypogastric plexus best be described?

Question

How can the anatomical position of the superior hypogastric plexus best be described?

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Solution

The superior hypogastric plexus, also known as the presacral nerve plexus, is located in the human body in the following way:

  1. Position: The superior hypogastric plexus is situated in the retroperitoneal space, which is the area of the abdominal cavity that lies behind the peritoneum - the lining of the abdominal cavity.

  2. Level: It is found at the level of the last lumbar and first sacral vertebrae. This is roughly at the small of the back, just above the tailbone.

  3. Relation to Aorta: The superior hypogastric plexus is located anterior (in front of) to the bifurcation of the aorta. The aorta is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen.

  4. Continuation: The superior hypogastric plexus continues down as the right and left hypogastric nerves. These nerves descend on the pelvic wall and give off several branches to the pelvic viscera.

  5. Relation to Other Structures: It is posterior (behind) to the common iliac arteries and the ureters. It is also medial (towards the middle) to the sympathetic trunk and lateral (towards the side) to the rectum.

In summary, the superior hypogastric plexus is a complex network of nerves located in the retroperitoneal space, at the level of the last lumbar and first sacral vertebrae, anterior to the bifurcation of the aorta, and posterior to the common iliac arteries and the ureters.

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