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Introduction: Ventriculoperitoneal (VP) shunting is one of the most common pediatric neurosurgery operations performed for dealing with hydrocephalus. One of the rare shunt complications is distal catheter migration, and various body sites have been reported, including the scrotum.

Presentation of case: We report an unusual case of a 1-year-old child with communicating hydrocephalus, who developed right scrotum swelling after 11 month of shunting. Plain abdominal x-ray showed the shunt tubing, which was kinked in its distal portion within scrotum. Ultrasound was performed, revealing hydrocele along with the presence of distal catheter in the scrotum. Patient underwent distal catheter trimming via laparoscopic approach with general surgery and managed with successful outcome.

Discussion/conclusion: Prompt surgical management of catheter repositioning is therefore recommended to avoid the risk of further complications.