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.