A rare case of perineal trauma in an adolescent

Abstract

Perineal trauma in children is rare but constitutes a surgical emergency due to the risk of deep injuries, particularly digestive lesions. We report the case of a 14-year-old boy, with no significant medical history, admitted with a perineal wound extending toward the anal margin. Clinical examination revealed low-grade fever (38°C) and a soft but tender abdomen. Abdominal radiography showed extensive pneumoperitoneum, suggesting digestive perforation. The patient underwent urgent surgical exploration under general anesthesia, revealing a peritoneal tear that was immediately sutured. This case highlights the need for a thorough assessment-including imaging and per-operative exploration-for any suspicious perineal injury. Prognosis depends on prompt treatment to prevent early infectious complications and long-term functional sequelae.