Introduction: Inflammatory fibroblast tumor is rare tumor that most often occurs in younger people, usually 30 years old or younger, but most commonly in children age 6-10 years. It usually affects gastrointestinal tract and the lungs but it can also occur in several places at the same time. Clinical manifestations vary depending of the affected system of the body so it is very difficult to determine diagnosis without surgical extirpation and patohistological analysis. Complete surgical resection is curative in most patients and recidivism is rare. Liver abscesses more common occur in females with risk factors and medical history of diabetes, previous liver disease and less likely in patients with granulomatous diseases. Liver abscesses mortality in developing countries is 2-12%, increasing due to open surgical drainage.Case report: We present a 35 years-old patient who was treated at the Clinic for Infectious Diseases University Hospital Mostar and University Hospital Sarajevo, Clinic for Infectious Diseases in August and September 2018 and Clinical Hospital Merkur, Zagreb Surgery Clinic in December 2018. Data was used from medical documentation. Young, immunocompetent patient who was addmited to a hospital following high fever, chills and poor general condition was diagnosed with multiple focal necrotic lesions, differential-diagnostically most likely liver and spleen abscesses with high suspicion of liver malignancy. Liver biopsy was performed and patohistological analysis confirmed the diagnosis of multiple liver abscesses in the IV and VI liver segment, and inflamatory fibroblast tumor in the IV liver segment. Eight weeks of conservative treatment resulted in a complete regression of liver abscesses and inflamatory fibroblast tumor was surgically extirpated at the Clinic Hospital Merkur, Surgery Clinic in the Zagreb in December 2018.Conclusion: An approach to a patient with a multiple liver abscesses and liver tumor requires sub-specialists experience and urgent multidisciplinary diagnostic and treatment approach to prevent further complications and deadly outcome.
Polycyclic aromatic hydrocarbons, PAHs, are organic pollutants widely spread in the environment. In order to decrease the level or eliminate the PAHs from the environment, especially soil, the development and the application of adequate techniques of remediation became the most important issues. The processes of thermally enhanced extraction of contaminants from soil include injection of hot air, steam or water into contaminated zone in order to mobilize all volatile and semi-volatile organic compounds . These in situ treatments may readily remove semi-volatile PAHs in the vapor phase from the subsurface through the extraction wells. The extracted vapors are then treated, as necessary (commonly with carbon adsorption), and discharged to the atmosphere or possibly re-injected into the subsurface. In the soil vapor extraction (SVE) technology, a vacuum is applied through wells near the source of contamination in the soil. Volatile constituents of the contaminant mass evaporate and the vapors are drawn toward the extraction wells. The increased air flow through the subsurface can also stimulate biodegradation of some of the contaminants, especially those that are less volatile. Wells may be either vertical or horizontal. Radio-frequency Heating (RFH) brings controlled heating to the subsurface, enhancing the removal of contaminants by soil vapor extraction; is analogous to a microwave - generation of heat on a molecular level. Similar to enhanced soil vapor extraction, hot water treatment and steam flushing/stripping entails the injection of hot water into the subsurface to mobilize contaminants. Contaminants are mobilized by the hot water and flows to the recovery wells, where they are removed from the subsurface along with the hot water. Maintaining a cold water cap over the area can control volatilization of the lighter constituents. Any volatile organics condense once they reach the cold water.
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