We present a case of silent transverse colonic perforation and trans-anal protrusion of the catheter as a complication arising from ventriculo-peritoneal shunt (VPS) in an infant. Plain abdominal X-ray and laparoscopy were essential diagnostic tools. The patient had an uneventful recovery following a laparoscopic assisted retrieval of the protruded shunt tube, extra ventricular drainage of cerebrospinal fluid and antibiotic therapy followed by revision of the shunt.
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