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Failure of a non-steroidal antiinflammatory agent (Ibuprofen) to inhibit peritoneal adhesion reformation after lysis.
Predisposing factors to CSF pseudocyst formation seem to be related to inflammatory processes such as infection, peritoneal adhesions from previous surgery, multiple shunt revisions, increased CSF proteins, malabsorption of CSF secondary to subclinical peritonitis and an allergic or nonspecific inflammatory response to the peritoneal catheter or to a component of the CSF.
The development of peritoneal inclusion cysts depends on the presence of peritoneal adhesions and active ovaries (2).