Suddenly, pain arises at night

Proctalgia fugax is a benign and uncommon condition of unknown etiology and pathogenesis. Clinically, it is characterized by episodes of sharp, spasmodic rectal pain, predominantly occurring at night, lasting only a few minutes but of high intensity, and unrelated to defecation. The patient remains asymptomatic between episodes. Its clinical course is unpredictable. We present a case in an adolescent aged 16 years that had a favorable outcome with spontaneous evolution.