PDF herunterladen
Homœopathic Links
DOI: 10.1055/s-0045-1806846
Case Report

Reviving Hope: A Homeopathic Triumph over Pancreatic Necrosis with Ascites: Evidence-Based Case Report

Nitin Kumar Saklani 
1   Regional Research Institute for Homoeopathy, Shimla, New Shimla, Himachal Pradesh, India
,
Divya Verma 
2   Central Research Institute (Homoeopathy), Jankipuram Extension, Lucknow, Uttar Pradesh, India
,
Bhavya Verma 
1   Regional Research Institute for Homoeopathy, Shimla, New Shimla, Himachal Pradesh, India
› Institutsangaben
Funding None.
› Weitere Informationen
   Lizenzen und Reprints

Abstract

Walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis, characterized by encapsulation of necrotic debris. The management of WOPN poses significant challenges due to its potential for infection, hemorrhage, and multi-organ failure. Homeopathy, known for its gentle and noninvasive approach, offers a treatment mode that aims to support healing without aggressive interventions. This case report talks about a patient presenting with WOPN with ascites managed with homeopathy. A 2-year-old boy was brought to the pediatric clinic with a chief complaint of worsening abdominal distension. The parents reported a gradual increase in the size of the child's abdomen over the past few weeks, accompanied by persistent and severe abdominal pain. The child exhibited signs of discomfort, frequently expressing pain through crying and restlessness. In addition to abdominal distension and pain, the child presented with episodes of vomiting. Despite multiple attempts with various medications, including domperidone for controlling vomiting, there was no significant improvement in these symptoms. The parents also noted a concerning loss of appetite in the child, with a noticeable decrease in oral intake. The primary diagnosis was cystic lesion replacing pancreatic body and tail (12.2 × 12.3 × 9.1 Cubic centimeter) likely WOPN with gross ascites, confirmed by contrast-enhanced computed tomography of the abdomen done in the Department of Radiodiagnosis, PGIMER, Chandīgarh. The patient underwent homeopathic treatment at the Regional Research Institute for Homoeopathy in Shimla. Following the intervention, the patient achieved full recovery from the signs and symptoms of WOPN. Radiological investigations, specifically a whole abdomen ultrasound, revealed the complete dissolution of the cystic lesion along with the resolution of gross ascites. The success was evidenced by the resolution of both clinical symptoms and radiological findings, as observed in the complete dissolution of the cystic lesion and the absence of gross ascites. This suggests a potential positive role for homeopathy in the management in such life-threatening and intractable cases of WOPN, encouraging further exploration and research in this area.

Keywords

homeopathy - pancreatic necrosis - ascites - alternative medicine - case report

Patients' Consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient's guardian has given his consent for his images and other clinical information to be reported in the journal. The patient's guardian understands that the patients' name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.


Supplementary Material



Publikationsverlauf

Artikel online veröffentlicht:
10. Juni 2025

© 2025. Thieme. All rights reserved.

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Stamatakos M, Stefanaki C, Kontzoglou K, Stergiopoulos S, Giannopoulos G, Safioleas M. Walled-off pancreatic necrosis. World J Gastroenterol 2010; 16 (14) 1707-1712
    CrossrefPubMedSuche in Google Scholar
  • 2 Connor S, Alexakis N, Raraty MG. et al. Early and late complications after pancreatic necrosectomy. Surgery 2005; Sep; 138 (03) 715-723
    PubMedSuche in Google Scholar
  • 3 Morinville VD, Barmada MM, Lowe ME. Increasing incidence of acute pancreatitis at an American pediatric tertiary care center: is greater awareness among physicians responsible?. Pancreas 2010; 39 (01) 5-8
    CrossrefPubMedSuche in Google Scholar
  • 4 Pant C, Deshpande A, Olyaee M. et al. Epidemiology of acute pancreatitis in hospitalized children in the United States from 2000-2009. PLoS One 2014; 9 (05) e95552
    CrossrefPubMedSuche in Google Scholar
  • 5 Benifla M, Weizman Z. Acute pancreatitis in childhood: analysis of literature data. J Clin Gastroenterol 2003; 37 (02) 169-172
    PubMedSuche in Google Scholar
  • 6 Ma MH, Bai HX, Park AJ. et al. Risk factors associated with biliary pancreatitis in children. J Pediatr Gastroenterol Nutr 2012; 54 (05) 651-656
    PubMedSuche in Google Scholar
  • 7 Kandula L, Lowe ME. Etiology and outcome of acute pancreatitis in infants and toddlers. J Pediatr 2008; 152 (01) 106-110 , 110.e1
    PubMedSuche in Google Scholar
  • 8 Lopez MJ. The changing incidence of acute pancreatitis in children: a single-institution perspective. J Pediatr 2002; 140 (05) 622-624
    PubMedSuche in Google Scholar
  • 9 Perez-Johnston R, Sainani NI, Sahani DV. Imaging of chronic pancreatitis (including groove and autoimmune pancreatitis). Radiol Clin North Am 2012; 50 (03) 447-466
    PubMedSuche in Google Scholar
  • 10 Elgendy A, Silverstone L, Bell D. et al. Walled-off pancreatic necrosis. Reference article. Radiopaedia.org. . Accessed February 22, 2025 at: https://doi.org/10.53347/rID-34733
    CrossrefPubMed
  • 11 Gapp J, Hoilat GJ, Leslie SW, Chandra S. Pancreatic Ascites. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing; 2025. . Accessed Mar 13, 2025 at: https://www.ncbi.nlm.nih.gov/books/NBK507851/
    Suche in Google Scholar
  • 12 Yasuda I, Nakashima M, Iwai T. et al. Japanese multicenter experience of endoscopic necrosectomy for infected walled-off pancreatic necrosis: The JENIPaN study. Endoscopy 2013; 45 (08) 627-634
    Thieme ConnectPubMedSuche in Google Scholar
  • 13 Leung TK, Lee CM, Lin SY. et al. Balthazar computed tomography severity index is superior to Ranson criteria and APACHE II scoring system in predicting acute pancreatitis outcome. World J Gastroenterol 2005; 11 (38) 6049-6052
    PubMedSuche in Google Scholar
  • 14 Schroyens F. Synthesis Treasure Edition 2009V, RadarOpus 1.33 (Homoeopathic Software). Assesse, Belgium: Archibel SA; 2009
    Suche in Google Scholar
  • 15 Mathur KN. Principles of Prescribing: Collected from Clinical Experiences of Pioneers of Homoeopathy. New Delhi: B. Jain Publishers; 2002: 1-48
    Suche in Google Scholar
  • 16 Clarke JH. A Dictionary of Practical Materia Medica. London: Homoeopathic Publishing Company; 1902: 1299-1326
    Suche in Google Scholar
  • 17 Phatak SR. Concise Repertory of Homoeopathic Medicines. New Delhi: B. Jain Publishers; 2004: 383
    Suche in Google Scholar
  • 18 Boericke W. Pocket Manual of Homoeopathic Materia Medica & Repertory: Comprising of the Characteristic and Guiding Symptoms of All Remedies (Clinical and Pahtogenetic [sic]) Including Indian Drugs. New Delhi: B. Jain Publishers; 2002: 56-58
    Suche in Google Scholar
  • 19 Nayak C, Brahmachari S, Ali S. Homoeopathic Materia Medica of Sarcode. New Delhi: B Jain Publisher; 2021: 310-311
    Suche in Google Scholar
  • 20 Lamba CD, Gupta VK, van Haselen R. et al. Evaluation of the modified Naranjo criteria for assessing causal attribution of clinical outcome to homeopathic intervention as presented in case reports. Homeopathy 2020; 109 (04) 191-197
    Thieme ConnectPubMedSuche in Google Scholar