Rare Shunt Complication : Letter to Editor

We report a rare case of ventriculo peritonial shunt, in which shunt tip perforated a bowel loop and protruded out of anal opening. An 11 month old male child had been operated for post meningetic hydrocephalus at an age of two months and standard right ventriculo peritoneal shunt was placed. Patient was on regular follow-up. He started having recurrent fever nine months after surgery. One morning, patient's mother noted a white tube protruding out from anal opening (Fig. 1). He was brought to emergency department and removal of shunt was carried over. His abdomen remained soft and there was normal passage of feces in post operative period. However patient developed signs and symptoms of raised intracranial pressure and contrast CT brain revealed multiple abscesses and ventriculitis. Prognosis was explained to attendants who refused further treatment.