Patients with cirrhosis of the liver usually present with a small, shrunken liver and a large spleen. The presence of an unusually huge liver
should prompt the treating doctor to look for another cause, as this may be treatable and improve the patient’s outcome. In South Africa
tuberculosis and lymphoma in the presence of HIV infection should be excluded. Sinus histiocytosis with massive lymphadenopathy and
cirrhosis is a rare combination and has not been reported before in the literature. This case is intended to make clinicians aware of this rare
combination of diseases.