Beware of the ventriculogallbladder shoot

We report a case of distal end malfunction in a child with ventriculoabdomi nal shunt. The distal placement was in the gallbladder rather than the peri toneal cavity, as is usually the case with a ventriculoperitoneal shunt. Su rgeons should be alerted to the possibility of distal terminus of a shunt t o be other than the peritoneal cavity, as revision surgery in patients with ventriculogallbladder shunt requires exposure of the metal connector on th e gallbladder wall to prevent biliary leakage.