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Ventriculoperitoneal (VP) shunting can be associated with complications like obstruction, disconnection and erosion into hollow viscus. A 47-year-old man presented with obstructive lower urinary tract symptoms (LUTS) and gross haematuria of 2 months duration. Six years previously, VP shunt was placed for post-tuberculous hydrocephalus, but he was lost to follow-up. During the evaluation, the distal end of the VP shunt with calculi was noted on CT scan (figure 1A,B). Cystoscopy showed that distal 15 cm of the VP shunt was protruding through …
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