Compression of the anterior abdominal wall resulting in colonic perforation in the absence of external injury: A rarely documented case.

Colonic perforation is prevalent in instances of abdominal trauma and is typically associated with anterior abdominal wall injury. Early diagnosis and prompt surgical intervention are essential to enhance patient outcomes. Delayed recognition of colonic perforation can result in severe complications, including peritonitis and sepsis. Diagnostic imaging, such as computed tomography, plays a critical role in determining the extent of injury and informing treatment decisions. This case report presents an instance in which a 16-year-old boy was grasped from behind and rotated laterally on both sides, resulting in multiple colonic perforations without any external abdominal injury. The child's life was saved by promptly performing surgery to repair the intestinal perforation and subsequently administering peritoneal wash. The boy remained under observation until his discharge from the hospital and attended all routine follow-up appointments. The young adolescent is now living a healthy and normal life. The presence of traumatic colon perforation without any visible external injury to the anterior abdominal wall makes this case unusual.