Abstract
A five-year-old male patient suffered from Burkkit lymphoma and underwent chemotherapy. After remission of the lymphoma, renal and cardiac failure remained. Conservative therapy for renal failure was adopted, but, at ten years old, he had to begin peritoneal dialysis and continued it for eleven years. Then, maintenance hemodialysis was introduced to control congestive heart failure. However, after the introduction of hemodialysis, appetite loss and diarrhea appeared, and massive ascites and intestinal emphysema were observed by abdominal CT scanning. Conservative treatment including total parenteral nutrition was performed for forty-two days. The abdominal symptom disappeared and he could take ordinary oral nutrition again. Renal transplantation was performed successfully at one hundred and seventy-five days after admission. He was discharged forty, one days after the operation and the abdominal symptom has not relapsed for at least one year. Marked recovery of the cardiac function was pointed out by cardiac ultrasonography. The present case suggested that poor control of the circulating blood volume and a uremic state affect congestive heart failure in dialysis patients.
