Abstract
We found abdominal lymphadenopathy of unknown origin in patient undergoing maintenance hemodialysis. He was diagnosed accidentally by ultrasound during a routine examination. CT showed conglomeraticl, enlarged and round lymph nodes along the common hepatic artery. He had no symptoms, and further examination of abdominal organs showed no abnormalities. After 3 months, he exhibited diarrhea, fever and ascites, the causes of which were not confirmed. His general condition gradually worsened, and antituberculous agents were administered although the diagnosis was unclear. Three days later, his high fever decreased, and his appetite increased. after 3 months, the ascites disappeared, and the abdominal swollen lymph nodes decreased in size. We concluded that antituberculous therapy in a patient undergoing maintenance hemodialysis should be initiated quickly whether or not the diagnosis has been confirmed.
