Proctalgia fugax is a functional disorder characterized by brief, severe, intermittent episodes of anorectal pain that are mostly self-limited. It is rarely reported in childhood. We report a 15-year-old girl with proctalgia fugax who presented with three years of anorectal pain episodes. After other reasons for anorectal pain were excluded, she was diagnosed as having proctalgia fugax. The patient did not benefit from rectal myotomy and inhaled salbutamol. Detailed information about the disease was provided to her and her family. We reassured her and her family that there was nothing seriously wrong and the pain was not caused by a serious disease. She has been followed for two years with decreased frequency of pain episodes, but she improved her ability to cope with the pain. Proctalgia fugax should be considered in differential diagnosis in adolescents with anorectal pain episodes. Awareness is important in order not to misdiagnose this benign and generally self-limited disorder.

Keywords: adolescent, anorectal pain, functional pain