Anal extrusion of ventriculoperitoneal (VP) shunt is a rare complication of shunt surgery for hydrocephalus. We report a case of a 03 year old baby, who presented with post VP shunting meningitis for which she was treated and discharged. After two weeks, she developed sub diaphragmatic abscess, which was drained in a paediatric surgical unit and the patient discharged. After two weeks, she again presented to us with extrusion of VP shunt from anus. VP shunt was replaced with a new one but she returned in a week with CSF leakage from the wound from where the abscess was drained. Surgery was again performed and VP Shunt was converted into VC shunt and she was discharged symptom free.
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