Medially it was abutting the crus of diaphragm
. CT scan neck and chest was unremarkable.
The results of dissections showed that 92.9 % of the left GSN and 86.2 % of the right GSN were close to the medial crus of diaphragm while 93.3 % of the left LSN and 87.0 % of the right LSN were close to the medial crus of diaphragm when the splanchnic nerves passed through the diaphragm.
After a series of dissections was performed, the splanchnic nerves of both sides were found adjacent to the medial arcuate ligament of diaphragm, the adrenal gland and the crus of diaphragm. On the left side the abdominal aorta and the hemiazygos vein were close to the nerves, while on the right were inferior vena cava and the azygos vein.
When the probe was put in the retroperitoneal space, the crus of diaphragm could be identified and GSN and LSN could be found between the middle and medial crus of the diaphragm.
The lesion is seen to abut stomach, and the bowel loops anteriorly, left hemidiaphragm superiorly; left crus of diaphragm
medially; however the fat plane between the lesion and these structures is maintained.
This common trunk pierced the right crus of diaphragm to reach the right suprarenal plexus after giving few branches to the celiac plexus.
The branch originating at the level of T3 ganglion appeared to be beaded and descended parallel, anteromedial to the MSC and continued into the abdomen, through the right crus of diaphragm, where it terminated in the fight suprarenal plexus, after giving few branches to the celiac plexus (Fig.