Hilar traumatic neuroma after liver transplantation.
We report our first case of symptomatic traumatic neuroma in the liver hilum after orthotopic liver transplantation. Compression of the hepatic artery caused extraluminal obstruction and resulted in perfusion damage to the graft. Moreover, intimal hyperplasia of the hepatic artery was present. Retransplantation was necessary because the hepatic artery was not salvageable. Potential pathophysiological mechanisms for these findings are discussed.
Nachtwey
B A
BA
Department of Surgery, University Hospital Eppendorf, Hamburg, Germany.
Rogiers
X
X
Waldstroem
J
J
Malagó
M
M
Nicolas
V
V
Guthoff
A
A
Henke
R P
RP
Broelsch
C E
CE
D000328:Adult; D005500:Follow-Up Studies; D006526:Hepatitis C / Q000601:surgery; D006801:Humans; D008099:Liver / Q000294:innervation*; D008103:Liver Cirrhosis / Q000601:surgery; D016031:Liver Transplantation; D008297:Male; D017169:Neoplasms, Post-Traumatic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D009463:Neuroma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D013997:Time Factors