eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2017-03-30 5 3 59 61 10.12691/ajmcr-5-3-4 AJMCR2017534 article Qassim Al Hinai 1 Neeraj Salhotra neersal@hotmail.com 1 Munthir Al Zabin 1 Azmat Ali 1 Salim Al Abri 1 Mohammad Hashim 1 S.D Lad 1 Department of Neurosurgery, Khoula Hospital, Muscat, Oman, PO box 90, Postal Code 116 The ventriculoperitoneal shunt has been the preferred therapy for chronic hydrocephalus for a long time. Complications of this therapy include pseudocyst formation, perforation of the gastrointestinal tract, penetration into solid organs/abdominal wall, protrusion outside the body, disconnection and infection. Bowel perforation is rare complication of VP shunt placement [8]. Silent colonic perforation by ventriculoperitoneal shunt catheter and later patient presenting with catheter prolapsing from anal opening is seen less frequently [1]. We had 3 children 1-3 years old a case of hydrocephalus with ventriculoperitoneal shunt presenting in above scenario. Patients were completely asymptomatic with no features of toxemia indicating a chronic process [2]. Treatment involves pediatric surgical help in removing the shunt catheter, waiting for a sterile cerebrospinal fluid sample via repeated cultures and replacement of shunt catheter in a different quadrant in abdominal cavity. http://pubs.sciepub.com/ajmcr/5/3/4/ajmcr-5-3-4.pdf colonic perforation by shunt catheter