{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T19:48:36Z","timestamp":1780343316064,"version":"3.54.1"},"reference-count":36,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,2,9]],"date-time":"2013-02-09T00:00:00Z","timestamp":1360368000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Abdominal tuberculosis (ATB) poses a significant diagnostic, management, and resource challenge. In Australia, an increasing number of tuberculosis (TB) cases are being reported, and we describe our experience of ATB in an Australian tertiary institution.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>All diagnosed cases of tuberculosis (TB) at the Royal North Shore tertiary hospital campus of the University of Sydney are entered prospectively into a central registry. Cases of ATB encountered between September 1991 and November 2011 were identified and retrospectively reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 841 cases of TB were identified, of which 20 were abdominal (2.4 %). Median age at presentation was 34 years (range: 22\u201379 years), and 55 % of patients were women. None of the patients were born in Australia and 11 patients were of South Asian origin. The most common presenting symptom was abdominal pain (65 %). Diagnosis was based primarily on histology (90 % sensitivity), and the sensitivity of PCR analysis in this series was low (44 %). Eleven of the patients required laparoscopy or laparotomy. 40 % of cases involved the peritoneum, and disease was also seen in solid organs (liver, spleen, pancreas, adrenal gland) and bowel (esophagus, small bowel, colon).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In our local experience ATB was seen exclusively in the immigrant population. The presentation of ATB varies greatly, necessitating a high index of suspicion within the context of abdominal symptoms in high\u2010risk groups. The role of surgical involvement is indispensable for both diagnosis and management of ATB\u2010related complications. Surgeons should remain mindful of the diagnosis in an age of increasing worldwide incidence.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-1935-7","type":"journal-article","created":{"date-parts":[[2013,2,8]],"date-time":"2013-02-08T18:57:12Z","timestamp":1360349832000},"page":"984-990","source":"Crossref","is-referenced-by-count":11,"title":["Tuberculosis: Experience in a Low Endemic Area Australian Tertiary Hospital"],"prefix":"10.1002","volume":"37","author":[{"given":"Preetjote","family":"Gill","sequence":"first","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital, University of Sydney Pacific Highway 2065 St Leonards NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas R.","family":"Coatsworth","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases and Microbiology Royal North Shore Hospital, University of Sydney Pacific Highway 2065 St Leonards NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin S.","family":"Gundara","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital, University of Sydney Pacific Highway 2065 St Leonards NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas J.","family":"Hugh","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital, University of Sydney Pacific Highway 2065 St Leonards NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaswinder S.","family":"Samra","sequence":"additional","affiliation":[{"name":"Upper Gastrointestinal Surgical Unit Royal North Shore Hospital, University of Sydney Pacific Highway 2065 St Leonards NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,2,9]]},"reference":[{"key":"e_1_2_5_2_2","unstructured":"World Health Organisation(2011)Global tuberculosis control WHO Report Geneva 3 227pp"},{"key":"e_1_2_5_3_2","unstructured":"World Health Organization(2007)Improving the diagnosis and treatment of smear\u2010negative pulmonary and extrapulmonary tuberculosis among adults and adolescents. 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