Abdominal cocoon syndrome in a 10-year-old young adolescent after abdominal operation: A case report and review of literature

Table 1 Timeline of the case report

Day	Clinical events	Diagnostic findings	Interventions
Day 1	Abdominal pain, vomiting, flatus cessation, and defecation	N/A	Laxative administration and enema at a local hospital
Day 1	No improvement	X-ray of the digestive system: air fluid levels; Abdominal ultrasonography: abnormally dilated loops of the jejunum and ileum; WBC 12.77 × 109/L, neutrophils 9.11 × 109/L	Transferred to the pediatric surgery department
Day 1	No improvement	CT scan: Intestinal obstruction	Correction of acidosis; Gastrointestinal decompression
Day 1	No improvement	Emergency exploratory surgery: abdominal cocoon syndrome, acute small bowel obstruction	Surgery procedure: Lysed the small intestinal adhesions and removed the fibrous membranes
Day 7	Resumption of spontaneous flatus and defecation	Body check: Return of bowel sounds	Full liquid diet orally
Day 8	Recurrence of abdominal pain and vomiting	X-ray of the digestive system: Air fluid levels; Abdominal ultrasonography: Revealed edema of the small intestinal wall; Early postoperative small bowel obstruction	Fasting
Day 15	Symptoms alleviated	Abdominal ultrasonography: A reduction in small intestinal wall edema	Transition from a residue-free diet to a semi-liquid diet
Day 22	Symptoms improving		Discharged home

N/A: Not applicable; CT: Computed tomography; WBC: White blood counts.