Conclusion
We were able to demonstrate that the use of close monitoring via telemedicine and proactive interdisciplinary collaboration with the GP’s involvement alongside conservative treatment meant a case with a high associated mortality risk could be transformed into a treatment success story. The total duration of treatment can even be shorter than for hospitalised patients on the basis of the literature. Both optimisation of existing risk factors and a high level of flexibility in the treatment regime were the key to achieving success for treatment on an out-patient basis. Furthermore we would like to use the experience from this case to point out the importance of ultrasound (including CEUS) for the diagnosis and surveillance of acute and chronic liver diseases.