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Correspondence
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Volume 345:297-298 July 26, 2001 Number 4
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Sterile Cerebrospinal Fluid Ascites and Chronic Peritonitis

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To the Editor: Sterile ascites after ventriculoperitoneal shunting is rare and usually of unknown cause.1 We describe a patient in whom an inflammatory reaction to silicone tubing used in the creation of a shunt was a possible cause of sterile ascites.

A 28-year-old woman presented with abdominal distention of three months' duration. She had undergone ventriculoperitoneal shunting at six months of age for hydrocephalus and subsequently required multiple revisions and replacements of silicone–elastomer shunts. She had no history of shunt infection or of abdominal or pelvic infection or surgery. She took valproic acid and carbamazepine for seizures. The results of . . . [Full Text of this Article]

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