ABSTRACT
Anorectal injuries are rarely seen in children. These injuries may sometimes lead to peritoneal contamination and result in severe clinical manifestations. Herein, we present a 14-year-old male patient who presented with symptoms of septic shock and was diagnosed with rectal perforation occurring after a fall from a hammock. The patient underwent sigmoid colostomy. In order to decrease the morbidity and mortality from anorectal traumas, an early and accurate diagnosis as well as detection and treatment of additional organ injuries are required. Therefore, atypical presentations should be born in mind.