Haris A. Khwaja

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BACKGROUND International smuggling of cocaine by internal concealment is a serious and growing problem. People who engage in this practice are commonly referred to as body packers or mules. The most serious risks associated with body packing include intestinal obstruction and death from cocaine intoxication. These patients were previously managed primarily(More)
Giant-cell tumour of the tendon sheath (GCT-TS) is a benign solitary tumour which usually arises in the limbs. It occurs most often in the hand where local recurrence after excision has been reported in up to 45% of cases. It is less common in the foot where the biological behaviour and risk of local recurrence have not been defined. We have studied 17(More)
Although endometriosis is a common condition in young women, symptomatic involvement of the small bowel is rare. The authors report the case of a 44-year-old lady initially thought to have irritable bowel syndrome who presented 1 month later with acute small bowel obstruction. A CT scan showed small bowel dilatation with a transition point in the ileum, but(More)
© 2008 Association médicale canadienne C is a rare but recognized complication of esophageal surgery. The close anatomic relation between the esophagus and thoracic duct explains the risk of chylothorax after esophagectomy. We report a rare case of a thoracic lymphocele associated with a chylothorax after radical esophagogastrectomy. This case is unique in(More)
the management of various medical conditions such as chronic bronchitis and acetaminophen poisoning, and in tracheostomy care. We report its use as a mucolytic agent in the treatment of peripancreatic collections after necrosectomy for acute pancreatitis, and its effect on patient recovery. van Waes and colleagues in 1983 demonstrated the efficacy of NAC in(More)
INTRODUCTION Subcutaneous emphysema with pneumomediastinum is a rare phenomenon with a high morbidity and may occur spontaneously. CASE PRESENTATION A 30-year-old Caucasian man presented with sudden onset of a painful, swollen neck and was found, via clinical and radiological examination to have subcutaneous emphysema. A swallow study showed no(More)
INTRODUCTION Common femoral endarterectomy and/or profundoplasty are procedures commonly performed on patients with functional or critical limb ischaemia. CASE PRESENTATION A 61-year-old Caucasian British man was referred to our unit with recent onset of severe left calf and thigh claudication and rest pain in his left foot. Magnetic resonance angiography(More)
Dear Editor: Necrotising fasciitis is a rare, aggressive soft tissue infection which most often occurs after local injury to the skin. It may be caused by either a mixture of aerobic and anaerobic bacteria, or purely anaerobic species, and is associated with bacteraemia in many cases. Rarely, there may be no breach of skin integrity, and infection may have(More)
Extradural haematomas are commonly associated with direct trauma to the temporal bones of the cranium resulting in damage to the middle meningeal artery or its branches. A case is presented of an occipital skull fracture with venous sinus bleeding that resulted in a posterior cranial fossa extradural haematoma. Bleeding in this area, if unrecognised, may(More)
The authors present the case of a 43-year-old gentleman who was admitted for an elective surgical removal of an eroded gastric band. The patient reported no medical concerns and other than a mild anaemia of haemoglobin of 10.6, his preoperative assessment was non-significant. Postoperatively, the patient spiked temperatures on multiple occasions. When a(More)