“…Scrotal migration in cases with multiple shunt tubes had been reported to our knowledge in two cases. 5,11 In one of them the author advised laparoscopic search for PPV or occult hernia in the first VP surgery, and prophylactic repair if present. 5 Other superimposed factors in children with other illnesses, children with meningomyelocele as in our case, include the low absorbing capacity of the peritoneum, weak abdominal muscles, or raised abdominal pressure after the repair of meningomyelocele.…”