Ventriculoperitoneal shunt is the most common and most effective therapeutic modality for the management of hydrocephalus. While most frequent complication is shunt dysfunction, abdominal complications may also occur at a rate of 25%, where 0.01-0.07% consists of colonic perforation. Despite being rare, a delayed diagnosis and treatment has a relatively mortal course. Once the diagnosis is established, prompt treatment should be initiated with accompanying removal of the catheter. In this case report, we presented a patient who had a ventriculoperitoneal shunt catheter protruding from anus with diagnostic and therapeutic approach in the guidance of the literature.