Cholecystitis Resolution Following Individualized Classical Homeopathic Treatment: A Case Report

Abstract

Background: Acalculous cholecystitis is an inflammatory gallbladder disorder occurring without gallstones and may present with right upper quadrant pain, nausea, bloating, fever, and fatty-food intolerance. Although conventional management remains essential, some patients seek complementary approaches, including individualized homeopathy. Objective: To describe the short-term clinical and ultrasonographic course of uncomplicated acalculous cholecystitis during individualized classical homeopathic care. Methods: This single-patient case report describes a 30-year-old male with right hypochondrial pain, bloating, nausea, mild fever, easy satiety, and fatty-food intolerance. Baseline ultrasonography showed gallbladder wall thickening without gallstones, sludge, or common bile duct dilation. Individualized homeopathic assessment considered gastrointestinal, hepatobiliary, general, and mental-emotional symptoms. Lycopodium clavatum 30C was administered initially, followed by Arsenicum album 30C and later Arsenicum album 1M according to ongoing constitutional assessment. Results: Progressive symptomatic improvement was reported during follow-up. By February 26, 2025, the patient was symptom-free, with absence of abdominal pain, bloating, nausea, digestive discomfort, and fever. Follow-up ultrasonography on February 27, 2025 showed normalization of gallbladder findings. No antibiotics, analgesics, surgical procedures, or adverse effects were reported during the observation period. Conclusion: This case documents short-term clinical and ultrasonographic resolution of uncomplicated acalculous cholecystitis during individualized homeopathic care; however, causality cannot be inferred, and spontaneous resolution or conservative disease course cannot be excluded