We report 2 cases of ventriculoperitoneal (VP) shunt migration into an inguinal hernia sac. In both cases hernia manifested itself on the right side in late infancy. We attempted to analyse the anatomical and mechanical factors leading to shunt migration as seen in the X-rays of our cases.

Ventriculoperitoneal (VP) shunting is a time-tested modality for the treatment of hydrocephalus. Every treatment modality has certain disadvantages, so does VP shunting. Abdominal complications including CSF pseudocyst, knotting, dis-connection or per rectal expulsion are well accounted but small intestinal fistulization and obstruction are extremely rare. We are reporting this case of small intestinal obstruction (volvulus with shunt knotting and small bowel erosion by shunt tubings) in an 8-year-old male child, who underwent shunt revision and previous shunt tubing was left behind in abdomen.