[Demand for the stopping of chronic hemodialysis. Apropos of 1 case].

We reported a case of a 69 years old woman who requested stopping long-term dialysis. She did not suffer a serious medical deterioration, except a worsening quality of life. After a global evaluation (medical, psychologic and social), several propositions to increase her state of life done. Nine months later, she persisted in her request. She was admitted in a palliative care unit, and death occurred 4 days later. A medical, juridic, ethic discussion and a literature review are proposed about this difficult medical problem.