A 54-year-old man is admitted to the intensive care unit and intubated on a ventilator after a serious motorcycle accident where he sustained multiple fractures, spinal cord trauma, and a liver laceration. On his fifth week of hospital admission, blood cultures from a central line reveal staphylococcal septicemia. After another month in the intensive care unit, the patient is found to have ascites and pitting edema. Vitals are within normal limits. Ultrasound demonstrates a fatty liver and unremarkable gallbladder. Echocardiogram shows no structural defects and a normal ejection fraction.
What is the most likely diagnosis?
a. Hepatic encephalopathy
b. Hepatorenal syndrome
c. Cardiogenic hepatorenal syndrome
d. Secondary bacterial peritonitis