Background: Vascular transformation of lymph node sinuses is a relatively rare entity and usually seen in the cervical lymph nodes. Case Report: A seventeen year old young male came with a progressively growing, painless swelling in the right groin. The mass was firm and had transmitted pulsations from the femoral vessels. As it was in close proximity to the femoral vessels, it was referred for excision. Histopathology and immunohistochemistry demonstrated true angiogenesis. Conclusion: The case is presented noting the combination that pathology is rare and its presentation in groin lymph nodes is rarer.