Dr Muhammad Uzair Asghar, Dr um-e-salma, Dr. Mughis Ahmad
The complexity of anal extrusion of ventriculoperitoneal (VP) is an infrequent complexity of shunt surgery for hydrocephalus. This case study is about a baby whose age was three years. The baby was identified with post ventriculoperitoneal (VP) shunting. She was managed at Sir Ganga Ram Hospital, Lahore in October 2017. The patient was found with subdiaphragmatic abscess after 14 days. She was discharged after draining in a pediatric surgical unit. She once again developed extrusion of VP shunt from the anus after 14 days. VP shunt was removed and a new one was placed. But after one week, the baby suffered from CSF leakage. Then abscess was drained. VP shunt was transferred into VC shunt by surgery. No symptom was left and the baby was discharged.