We report our first case of symptomatic traumatic neuroma in the liver
hilum after orthotopic liver transplantation. Compression of the hepa
tic artery caused extraluminal obstruction and resulted in perfusion d
amage to the graft. Moreover, intimal hyperplasia of the hepatic arter
y was present. Retransplantation was necessary because the hepatic art
ery was not salvageable. Potential pathophysiological mechanisms for t
hese findings are discussed.