A patient with cirrhosis and history of a duodenal ulcer perforation was admitted postoperatively for decompensation of ascites with intraabdominal compartment syndrome – that was managed by laparostomy and V.A.C. therapy. Due to signs of ischemia, the transverse colon was resected without the establishment of the primary anastomosis. Progression of liver dysfunction and loss of ascitic fluid via laparostomy can be observed.
Ultrasonographic examination of liver perfusion: