
Abstract A 5-month-old girl, with history of congenital hydrocephalus (as aqueduct stenosis), had surgery at the age of few days as ventriculo -peritoneal shunt (VPS), was inserted on the right side. Around 4 months later, the baby presented in paediatric emergency with protrusion of distal ventriculo-peritoneal shunt (VPS) tip from mouth after persisting vomiting due to perforation through gastrointestinal tract. Actually, trans-oral extrusion of ventriculo- peritoneal shunt is a rare condition (1). Here we report a case, discussing the clinical picture, radiological findings and surgical procedure. Keywords: Ventriculo- peritoneal Shunt (VPS), extrusion; trans-oral migration, external ventricular drainage (EVD).
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