Aim of this article is to report a case of spontaneous externalization of Ventriculoperitoneal shunt tube through anus in an eighteen months old female child (k/c/o Dandy-Walker malformation) treated with placement of ventriculoperitoneal shunt for hydrocephalus. The exact cause of such externalization is not known. Unusual migration of distal catheter tip of VP shunt is rare and bowel perforation is reported to occur between 0.1% and 0.7%. In view of the potential risk for meningitis prompt and aggressive management is essential to avoid morbidity and mortality.
