Acute subdural hematoma (SDH) remains a significant concern following ventriculo-peritoneal shunt (VPS) surgery. The extant literature predominantly addresses the incidence, progression, and risk factors associated with spontaneous SDH subsequent to VPS surgery. However, there is a notable paucity of research focusing on traumatic SDH precipitated by head injuries in patients who have undergone VPS surgery. The presence of a ventricular shunt tube may contribute to the enlargement of traumatic SDH; however, it also facilitates the accelerated removal of cerebrospinal fluid, thereby alleviating intracranial hypertension. While surgical intervention is typically necessary in such cases, the optimal method and timing of these surgical procedures remain subjects of ongoing debate.