case_images: PMC10897761_01
case_images: CECT-AP axial section: (A) venous phase showing a well-defined hypodense lesion with peripheral enhancement in segments VII and IV of the liver (shown by the red arrow) likely to be a hepatic abscess and (B) delayed phase showing the same lesion with peripheral enhancement shown by the red arrow.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i01.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i01.jpg
case_images: FIG1
case_images: It coalesced with a similar sub-centimetric-sized lesion just inferior to it, most likely suggestive of a liquefied hepatic abscess (Figures 1A-1B).
case_images: CECT-AP reformatted coronal section showing enhancing lymph nodes along bilateral iliac vessels shown by the red arrows.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i02.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i02.jpg
case_images: FIG2
case_images: We noted multiple enlarged centrally necrotic discrete and few coalescing lymph nodes at the splenic hilum, porta hepatis, upper abdomen, and retroperitoneum, along bilateral iliac vessels, bilateral obturator region, and bilateral inguinal region (Figures 2, 3, 4, 5, 6).
case_images: CECT-AP reformatted coronal section showing non-enhancing necrotic lymph nodes in the bilateral inguinal region shown by the red arrows.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i03.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i03.jpg
case_images: FIG3
case_images: We noted multiple enlarged centrally necrotic discrete and few coalescing lymph nodes at the splenic hilum, porta hepatis, upper abdomen, and retroperitoneum, along bilateral iliac vessels, bilateral obturator region, and bilateral inguinal region (Figures 2, 3, 4, 5, 6).
case_images: CECT-AP reformatted coronal section showing non-enhancing necrotic at the porta hepatis shown by the red arrow.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i04.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i04.jpg
case_images: FIG4
case_images: We noted multiple enlarged centrally necrotic discrete and few coalescing lymph nodes at the splenic hilum, porta hepatis, upper abdomen, and retroperitoneum, along bilateral iliac vessels, bilateral obturator region, and bilateral inguinal region (Figures 2, 3, 4, 5, 6).
case_images: CECT-AP reformatted coronal section showing an enhancing lymph node at the splenic hilum shown by the red arrow.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i05.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i05.jpg
case_images: FIG5
case_images: We noted multiple enlarged centrally necrotic discrete and few coalescing lymph nodes at the splenic hilum, porta hepatis, upper abdomen, and retroperitoneum, along bilateral iliac vessels, bilateral obturator region, and bilateral inguinal region (Figures 2, 3, 4, 5, 6).
case_images: CECT-AP axial section showing an enlarged, non-enhancing necrotic lymph node along the right iliac vessels (right obturator node) shown by the red arrow.. CECT-AP: contrast-enhanced computed tomography of the abdomen and pelvis
case_images: cureus-0016-00000053094-i06.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i06.jpg
case_images: FIG6
case_images: We noted multiple enlarged centrally necrotic discrete and few coalescing lymph nodes at the splenic hilum, porta hepatis, upper abdomen, and retroperitoneum, along bilateral iliac vessels, bilateral obturator region, and bilateral inguinal region (Figures 2, 3, 4, 5, 6).
case_images: Inguinal lymph node section showing multiple epithelioid cell granulomata with surrounding caseating necrosis under 20x magnification H&E stain.. H&E: haematoxylin and eosin
case_images: cureus-0016-00000053094-i07.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i07.jpg
case_images: FIG7
case_images: We sent an inguinal lymph node biopsy specimen for histopathological examination, which revealed multiple epithelioid cell granulomata with surrounding caseating necrosis under 20x magnification haematoxylin and eosin (H&E) stain (Figure 7), the central area of caseous necrosis with surrounding lymphohistiocytes and Langhans-type giant cells, and the peripheral rim of lymphocytes under 40x magnification H&E stain (Figure 8).
case_images: Inguinal lymph node section showing the central area of caseous necrosis with surrounding lymphohistiocytes and Langhans-type giant cells and the peripheral rim of lymphocytes under 40x magnification H&E stain.. H&E: haematoxylin and eosin
case_images: cureus-0016-00000053094-i08.jpg
case_images: PMC10897761_01_cureus-0016-00000053094-i08.jpg
case_images: FIG8
case_images: We sent an inguinal lymph node biopsy specimen for histopathological examination, which revealed multiple epithelioid cell granulomata with surrounding caseating necrosis under 20x magnification haematoxylin and eosin (H&E) stain (Figure 7), the central area of caseous necrosis with surrounding lymphohistiocytes and Langhans-type giant cells, and the peripheral rim of lymphocytes under 40x magnification H&E stain (Figure 8).