WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Maieryemu Sulaiman and Sakarie Mustafe Hidig*

ABSTRACT

Background: To investigate the diagnosis and treatment of patients with small intestinal telangiectasia complicated with chronic myelomonocytic leukemia and to improve the diagnosis and treatment level. Methods: We have collected the clinical data of one patient with small intestinal telangiectasia complicated with chronic myelomonocytic leukemia were summarized and analyzed and reviewed the relevant literature by summarizing the diagnosis and treatment process of this case, the clinical manifestations combined with laboratory results in the diagnosis of such diseases, and the reasons for the rapid progression of the disease after surgery. Results: In this case, due to the poor conservative treatment effect of small intestinal telangiectasia, after surgical removal of the diseased intestine, the perioperative white blood cells continued to maintain a high level, the anemia was difficult to correct, and the blood in the stool was repeated after surgery. Finally, bone marrow aspiration was performed to confirm the diagnosis of chronic monocytic leukemia (CMML), and the patient died due to leukemia exacerbation and lung infection. Conclusion: The small bowel bleeding with CMML rate is low, but mortality is high. If we encounter hematoma or anemia that is difficult to control clinically, physicians need to expand the thought process of diagnosis and treatment, find the root cause, and pay attention to distinguish small bowel bleeding from other hematological diseases to avoid being confused with other diseases that are often overlooked and misdiagnosed clinically.

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