Superior hypogastric plexus

Superior hypogastric plexus
The right sympathetic chain and its connections with the thoracic, abdominal, and pelvic plexuses. (Hypogastric plexus is labeled on right, fourth from the bottom.)
Lower half of right sympathetic cord.
Details
Identifiers
Latin	plexus hypogastricus superior, nervus presacralis
MeSH	A08.800.050.050.400
TA	A14.3.03.046
FMA	6642
*Anatomical terms of neuroanatomy* [edit on Wikidata]

The superior hypogastric plexus (in older texts, hypogastric plexus or presacral nerve) is a plexus of nerves situated on the vertebral bodies anterior to the bifurcation of the abdominal aorta.

Structure

From the plexus, sympathetic fibers are carried into the pelvis as two main trunks- the right and left hypogastric nerves- each lying medial to the internal iliac artery and its branches. The right and left hypogastric nerves continues as Inferior hypogastric plexus; these hypogastric nerves send sympathetic fibers to the ovarian and ureteric plexi, which originate within the renal and abdominal aortic sympathetic plexi. The superior hypogastric plexus receives contributions from the two lower lumbar splanchnic nerves (L3-L4), which are branches of the chain ganglia. They also contain parasympathetic fibers which arise from pelvic splanchnic nerve (S2-S4) and ascend from Inferior hypogastric plexus; it is more usual for these parasympathetic fibers to ascend to the left-handed side of the superior hypogastric plexus and cross the branches of the sigmoid and left colic vessel branches, as these parasympathetic branches are distributed along the branches of the inferior mesenteric artery.

Additional images

References

This article incorporates text in the public domain from the 20th edition of Gray's Anatomy (1918)

External links

Autonomics of the Pelvis - Page 4 of 12 anatomy module at med.umich.edu
posteriorabdomen at The Anatomy Lesson by Wesley Norman (Georgetown University) (posteriorabdmus&nerves)
pelvis at The Anatomy Lesson by Wesley Norman (Georgetown University) (pelvicsympathnerves)
figures/chapter_32/32-6.HTM: Basic Human Anatomy at Dartmouth Medical School

Anatomy of the autonomic nervous system

Head

Sympathetic	Ciliary ganglion: roots Sensory Sympathetic Short ciliary

Parasympathetic	Ciliary ganglion: roots Sensory Parasympathetic Short ciliary Pterygopalatine ganglion: deep petrosal nerve of pterygoid canal branches of distribution: greater palatine inferior posterior nasal branches lesser palatine nasopalatine medial superior posterior nasal branches pharyngeal Submandibular ganglion Otic ganglion

Neck

Sympathetic	paravertebral ganglia: Cervical ganglia Superior Middle Inferior Stellate ganglion prevertebral plexus: Cavernous plexus Internal carotid

Chest

Sympathetic	paravertebral ganglia: Thoracic ganglia prevertebral plexus: Cardiac plexus Esophageal plexus Pulmonary plexus Thoracic aortic plexus splanchnic nerves: cardiopulmonary thoracic cardiac nerves: Superior Middle Inferior

Abdomen

Sympathetic	paravertebral ganglia: Lumbar ganglia prevertebral ganglia: Celiac ganglia Aorticorenal Superior mesenteric ganglion Inferior mesenteric ganglion prevertebral plexus: Celiac plexus Hepatic Splenic Pancreatic aorticorenal Abdominal aortic plexus Renal/Suprarenal Superior mesenteric Gastric Inferior mesenteric Spermatic Ovarian Superior hypogastric hypogastric nerve Superior rectal Inferior hypogastric Vesical Prostatic / Cavernous nerves of penis Uterovaginal Middle rectal splanchnic nerves: Lumbar splanchnic nerves

Enteric	Submucous plexus Myenteric plexus

Pelvis

Sympathetic	paravertebral ganglia: Sacral ganglia Ganglion impar splanchnic nerves: Sacral splanchnic nerves

Parasympathetic	splanchnic nerves: Pelvic splanchnic nerves

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