Conclusion
Although bowel perforation and trans-anal protrusion of the ventriculoperitoneal shunt is an extremely rare complication of VP shunt placement, it can lead to serious features such as ascending gram-negative meningitis, ventriculitis, sepsis, perforative peritonitis and peritoneal abscess. Hence knowing this complication and having it in mind in approach to patients with a ventriculoperitoneal shunt might be crucial for both general surgeons and neurosurgeons. Obviously, as more reports and management approaches gets published, better treatments or even guidelines might get designed.