Crush syndrome (CS) is a systemic consequence of prolonged sustained pressure on muscle tissue, accompanied by rhabdomyolysis. As a result, CS may cause organ dysfunction and death, especially acute kidney damage. We describe a 3-year-old boy who was under the rubble for 18 hours, and developed CS. Right lower extremity fasciotomy was performed due to compartment syndrome. Dialysis was not required with intensive hydration therapy. Acute renal failure is the main complication that determines survival in crush injuries. Early fluid resuscitation is the primary treatment for the prevention of acute renal failure.