Abstract
Ventriculoperitoneal (VP) shunt procedure is the most commonly performed and widely accepted treatment method for hydrocephalus of any aetiology. Unfortunately VP shunt is associated with varying complications beginning right from its ventricular end to the peritoneal end [1]. Here we present a challenging case of migrating distal end of VP shunt with its extrusion through the inguinal region, followed by per anal protrusion in the same patient. Scarcity of literature on sequential dual protrusion of the distal end of VP shunt in the same patient makes it a very uncommon case attracting our attention.







