Colorectal carcinoma is a malignant tumor, often found in adults and the elderly. One case was found in children, with an incidence of about 1% of neoplasms in children. The aim of the authors is to report the first case in the last 5 years of our institution, a 13-year-old patient with a major complaint of flatulence and defecation of blood mucus and weight loss. The patient previously went to medical staff but there was no change, then was referred to Sardjito General Hospital. On digital rectal examination, there are many lumps in the rectum. Examination of barium enema is carried out with results according to the picture of rectal carcinoma. Exploratory laparotomy was performed and desendent colon tumors were fixed in the rectum and left lateral abdominal wall. It was decided to do a permanent colostomy and follow up for 3 months. Colorectal carcinoma in 13-year-old men is a rare case. Family history with similar complaints is denied. Anatomic pathology examination revealed neuroendocrine carcinoma. Patients have a permanent colostomy because the tumour cannot be resected and chemotherapy. Patients were followed up for 3 months by tracking metastases. Colorectal carcinoma in children is a rare and often delayed diagnosis, and has a poor prognosis.