PMC5340723_01
(A) Axial pelvic CT with oral contrast at the level of the cecum showing diffuse anasarca with ascites. Cecal wall thickening (white arrow) and peritoneal wall (blue arrow) thickening are seen. (B) Sagittal abdominal/pelvic CT with oral contrast showing diffuse peritoneal wall thickening with deposit (white arrow).
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F1
A, B, and C were negative, but serum HSV workup showed positivity for immunoglobulin M (IgM) and polymerase chain reaction (PCR). Abdominal ultrasound and computed tomography (CT) showed an enlarged liver (18 cm) with heterogeneous attenuation and a thickened peritoneum with large deposits along the pelvic wall, consistent with peritonitis (Figure 1).