case_images: PMC7334768_01
case_images: Chest X-ray showing no abnormality or masses.
case_images: CRIRH2020-8840245.001.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.001.jpg
case_images: fig1
case_images: The chest X-ray was normal, appearing with no remarkable findings (Figure 1); however, due to concern for cholecystitis, ultrasound of the abdomen was performed, and it reported that the patient had cholelithiasis with the heterogeneous liver.
case_images: Computed tomography (CT) abdomen showing hepatosplenomegaly, numerous hypodensities in the liver.
case_images: CRIRH2020-8840245.002.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.002.jpg
case_images: fig2
case_images: Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
case_images: Computed tomography of the abdomen with contrast showing hepatosplenomegaly, numerous hypodensities in the spleen and ascites.
case_images: CRIRH2020-8840245.003.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.003.jpg
case_images: fig3
case_images: Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
case_images: Computed tomography of the pelvis with contrast showing densities in the spleen.
case_images: CRIRH2020-8840245.004.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.004.jpg
case_images: fig4
case_images: Computed tomography of the abdomen with contrast (Figures 2-4) identified hepatosplenomegaly, numerous small density lesions in the liver and spleen.
case_images: Exploratory laparoscopy showing infiltrative lesions.
case_images: CRIRH2020-8840245.005.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.005.jpg
case_images: fig5
case_images: Finally, exploratory laparoscopy (Figure 5) was performed to reveal the characteristics of the infiltrative lesions.
case_images: Histopathology showing noncaseating granulomas.
case_images: CRIRH2020-8840245.006.jpg
case_images: PMC7334768_01_CRIRH2020-8840245.006.jpg
case_images: fig6
case_images: Histopathology identified noncaseating granulomas along with changes of steatohepatitis (Figure 6).