In this paper, a case that has complicated rectal perforation just after putting on unfamiliar object in his anus for autoeroticisim during the age of puberty and its treatment process and the psychological and social problems in this process will be discussed in detail. The case -16 years old male- applied to Marmaris State Hospital’s Emergency department with abdominal pain, fever, rectal bleeding complaints after he had acquired some knowledge about autoeroticisim from web site and shortly after insert a cleaning rod as an unfamiliar object into his anus for sexual gratification purpose the day before. He was assessed as acute abdomen and operated by a general surgeon. During the surgical operation process, rectal perforation was detected and Hartman Procedure was applied. The patient was referred to Ege University Pediatric Surgery Clinic ten days later, due to his general state. His physical state was not improved and he had fever. At pediatric surgery clinic, pleural effusion, intra-abdominal abscesses and hypoalbuminemia were detected and broad-spectrum antibiotics were applies and a chest tube placement was carried out. After fourteen days, his complaints were regressed; on 10th day of hospitalization, he was directed to Ege University Child and Adolescent Health and Disorders Department ‘Consultation Liaison Unit’ due to anxiety and sleep disorders. Although, sexual interest is expected to increase during adolescence/puberty, unhealthy experiences, which acquired from inappropriate internet sites with incorrect information though developing technology, can lead to unexpected and dangerous consequences. Thus, the case with rectal perforation associated with insertion of unfamiliar object for autoeroticism was remarkably harmed because of the delay in applying to hospital and initiation of treatment, and inability to predict the real cause of complaints that was hidden by him. In the course of follow up, his