Anatomy Answer 8

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Ans:Greater splanchnic nerve

Review: Openings in the Diaphragm:
  • aortic hiatus is the lowest and most posterior of the large apertures; it lies at the level of the twelfth thoracic vertebra. Strictly speaking, it is not an aperture in the diaphragm but an osseoaponeurotic opening between it and the vertebral column, and therefore behind the diaphragm;( Through it pass the aorta, the azygos vein, and the thoracic duct; occasionally the azygos vein is transmitted through the right crus.)
  • The esophageal hiatus is situated in the muscular part of the diaphragm at the level of the tenth thoracic vertebra, and is elliptical in shape.(transmits the esophagus, the vagus nerves, and some small esophageal arteries.)
  • The vena caval foramen is the highest of the three, and is situated about the level of the fibrocartilage between the eighth and ninth thoracic vertebræ.(transmits the inferior vena cava, the wall of which is adherent to the margins of the opening, and some branches of the right phrenic nerve.)
Of the lesser apertures, two in the right crus transmit the greater and lesser right splanchnic nerves; three in the left crus give passage to the greater and lesser left splanchnic nerves and the hemiazygos vein. The gangliated trunks of the sympathetic usually enter the abdominal cavity behind the diaphragm, under the medial lumbocostal arches.



Category: AIIMS Nov 2006 MCQs

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