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. Insertion of a ventriculoperitoneal (VP) shunt, the method of  choice in the treatment of hydrocephalus, is often followed by various  mechanical and/or infective complications. We present two children with  asymptomatic perforation of the large bowel and urinary bladder, relatively  rare and potentially severe complications of this surgical procedure.  Outline of Cases. In both patients a VP shunt was implanted in the first  month after birth; in a boy due to congenital hydrocephalus and in a girl  due to the consequences of intracranial haemorrhage. Immediately after  surgery, as well as during the further course, in both children growth and  development were optimal and without any signs of infection or VP shunt  malfunction. In the boy at age 6 months and in the girl at age 4 years,  without any signs of complications, mothers noted the prominence of the VP  shunt tip from the anus in the first case and from the urethral orifice in  the second one. The VP shunts were immediately changed, so that both  complications were resolved without any consequences. Conclusion. Insertion  of a VP shunt represents the most frequent method of choice of the surgical  treat- ment of hydrocephalus, but also potentially a highly risky procedure  followed by various complications about which parents should be informed  when patients are children. Owing to adequate approach in the follow-up of  children with implanted VP shunt, large bowel and urinary bladder  perforation, examples of severe and potentially fatal complications of this  surgical intervention, could be disclosed on time and adequately resolved

Asymptomatic perforation of large bowel and urinary bladder as a complication of ventriculoperitoneal shunt: Report of two cases