Abstract:
Introduction: Chronic alcoholic pancreatitis with necrotising exacerbation and pseudocyst is a condition with a poor prognosis. The disease pathology, along with a history of trauma, and alcohol dependence, adds up to the severity making it more difficult to treat. The main surgical management is cyst drainage. Individualised homoeopathic medicine can resolve this without surgical intervention. Case Summary: In a case with a combination of pathology, trauma and addiction, arriving at a homoeopathic similimum can be challenging. The present case study demonstrates the management of a patient in a semi-comatose state with abdominal rigidity and ultrasonographic evidence of pancreatic pseudocyst. The acute exacerbation of pancreatitis with pseudocyst and the chronic state were managed with acute and constitutional homoeopathic remedies selected through Boenninghausen’s and Boger’s approaches, respectively. The causal attribution was assessed by MONARCH inventory. The outcome of the treatment showed complete resolution of the necrotised pancreas and pseudocyst rendering the patient back to his daily living.
