title: Liver adenomatosis: a rare indication for living donor liver transplantation.
abstract: Liver adenomatosis (LA) is a rare benign disease of the liver with unclear pathogenesis, which is characterized by multiple hepatic adenomas. The management of LA remains controversial. Herein we have reported a case of LA treated by living donor liver transplantation (LDLT). A 48-year-old woman developed multiple liver adenomas. In view of the sizes and localizations of the lesions, the patient underwent right hepatic resection and segment II nodulectomy. Thirty-four months later, she developed recurrence of multiple hepatic adenomas and 2 nodules were highly suspect for hepatocellular carcinoma. Re-resection was not indicated due to the whole liver being involved with adenomas. The patient underwent LDLT. At 45 months thereafter she is alive and disease-free. In conclusion, LDLT is indicated in cases of nonresectability; it may offer optimal results in view of the absence of portal hypertension and the elimination of waiting list time.
authors.affiliation: Department of Surgery, Niguarda Ca' Granda Hospital, Milan, Italy. stefano.disandro@ospedaleniguarda.it
authors.forename: S
authors.initials: S
authors.lastname: Di Sandro
authors.forename: A O
authors.initials: AO
authors.lastname: Slim
authors.forename: A
authors.initials: A
authors.lastname: Lauterio
authors.forename: A
authors.initials: A
authors.lastname: Giacomoni
authors.forename: I
authors.initials: I
authors.lastname: Mangoni
authors.forename: P
authors.initials: P
authors.lastname: Aseni
authors.forename: V
authors.initials: V
authors.lastname: Pirotta
authors.forename: A
authors.initials: A
authors.lastname: Aldumour
authors.forename: P
authors.initials: P
authors.lastname: Mihaylov
authors.forename: L
authors.initials: L
authors.lastname: De Carlis
mesh_terms: D000236:Adenoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D012008:Recurrence