Hepatic adenomatosis leading to liver failure and symptomatic extrinsic cardiac compression treated with liver transplantation: a case report and literature review

We report an unusual case of a 34-year-old woman with liver and right heart failure caused by mass effect from a large hepatic adenoma compressing the bile duct, right atrium, and vena cava that was successfully managed with sequential radioembolization and orthotopic liver transplantation. This case highlights the potential complications of large adenomas and associated downsizing strategies needed to achieve a successful outcome. We believe that this is a topic of interest to the journal readership as hepatic adenomatosis is a rare indication for liver transplantation that many readers may not be familiar with.