Spontaneous Pediatric Colon Perforation: A Rare Case Report

Idiopathic colon perforation is a rare condition in children, more commonly observed at the extremes of age. Frequent sites include the splenic flexure, ileocecal region, and lower sigmoid colon. If not treated promptly, this condition can lead to high mortality and morbidity rates.We present the case of a 7-yearold girl with fever, diarrhea, nausea, vomiting, and progressive abdominal distention. A week prior to admission, she had received ibuprofen for an upper respiratory tract infection. Her condition worsened despite treatment, raising suspicion of an abdominal complication.Due to clinical signs of peritonitis, a diagnostic laparoscopy was performed, revealing a perforation in the transverse colon. Surgical intervention included primary suture repair and prophylactic appendectomy. Postoperative care led to full recovery.