Liver adenomatosis: a rare indication for living donor liver transplantation.
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.
Di Sandro
S
S
Department of Surgery, Niguarda Ca' Granda Hospital, Milan, Italy. stefano.disandro@ospedaleniguarda.it
Slim
A O
AO
Lauterio
A
A
Giacomoni
A
A
Mangoni
I
I
Aseni
P
P
Pirotta
V
V
Aldumour
A
A
Mihaylov
P
P
De Carlis
L
L
D000236:Adenoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000601:surgery*; D016031:Liver Transplantation; D019520:Living Donors; D008875:Middle Aged; D012008:Recurrence