This 3-year-old female was diagnosed of Denys-Drash syndrome and underwent bilateral nephrectomy because of bilateral Wilms’ tumor. (Fig 1) She received temporary hemodialysis before permanent peritoneal dialysis was initiated. She was regularly followed-up at our pediatric nephrology clinic and was surveilled under special dialysis nurses, dietitians and social workers. Currently, she underwent continuous cyclic peritoneal dialysis for three years without any eventful complications.
![Art editor Img](https://wwwfs.vghks.gov.tw/Download.ashx?u=LzAwMS9WZ2hrc1VwbG9hZEZpbGVzLzM5NC9ja2ZpbGUvN2I2OGQzODgtODk3MS00Yzk4LTlmOGYtNDJlZDJhYmRjYTE0QDEwMjR4NzY4LnBuZw%3d%3d&n=5ZyW54mHMTAucG5n)
Fig. 1 Bilateral Wilms’ tumor presenting with enlarged kidneys and end stage kidney disease. The normal kidney (Arrow) was compressed with the malignancy. (Arrowhead)