HighlightsLumbar-peritoneal (LP) and ventriculo-peritoneal (VP) shunt placement is the treatment of choice for diversion of cerebrospinal fluid (CSF) from the subarachnoid space into the peritoneal cavity.Perforation of the bowel by lumbar-peritoneal or ventriculo-peritoneal shunt is an extremely rare complication.We report a case of a 72 old female patient with LP shunt for raised intracranial pressure, who presented with LP shunt catheter protruding from anus.She was surgically treated with removal of the distal part of the shunt, external drainage of the proximal part and primary closure of the perforation.

Key Clinical MessagePatients with postradiation therapy for malignancies and/or extensive colorectal surgery are prone to the development of enteroperineal fistulas. Application of biological meshes may prove beneficial in treating complicated enteroperineal fistulas as they provide a stable ground for closing pelvic defects even in contaminated fields.