{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T16:42:20Z","timestamp":1790872940993,"version":"4.1.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,6,1]],"date-time":"2012-06-01T00:00:00Z","timestamp":1338508800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Royal College of Physicians of Edinburgh"],"published-print":{"date-parts":[[2012,6]]},"abstract":"\n This case report describes a diagnosis of right-sided isomerism and specifically right-sided bronchial isomerism in a patient who was being investigated for deteriorating bronchiectasis. Right-sided bronchial isomerism is a variation of the normal bronchial anatomy (situs solitus) consisting of a left lung that is identically configured at the bronchial and lobar level to the right. It is sometimes referred to as bilateral right lung and is usually associated with congenital asplenia and therefore impaired immunity with susceptibility to pneumococcal sepsis and cardiac abnormalities which may be severe and result in a high mortality in infancy.\n 1<\/jats:sup>\n Ivemark syndrome (also known as right atrial isomerism) combines these associations with malrotation of the gut and a midline liver.\n 2<\/jats:sup>\n Interestingly, left-sided isomerism is associated with polysplenia as well as midline liver, malrotation of the gut, partially anomalous pulmonary venous drainage and cardiac septal defects.\n 3<\/jats:sup>\n To the best of our knowledge cases of right-sided isomerism are sufficiently rare in adulthood that there are only two other reports in the literature and only one of the patients had bronchial isomerism.\n 4,5<\/jats:sup>\n <\/jats:p>","DOI":"10.4997\/jrcpe.2012.205","type":"journal-article","created":{"date-parts":[[2018,8,13]],"date-time":"2018-08-13T06:07:19Z","timestamp":1534140439000},"page":"116-118","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Right-sided bronchial isomerism diagnosed in adulthood"],"prefix":"10.1177","volume":"42","author":[{"given":"A","family":"Leitch","sequence":"first","affiliation":[{"name":"Specialist Registrar, Respiratory Unit, Western General Hospital, Edinburgh, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Roditi","sequence":"additional","affiliation":[{"name":"Consultant Radiologist, Department of Radiology, Glasgow Royal Infirmary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Professor of Medicine, Respiratory Unit, Glasgow Royal Infirmary, Glasgow, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,6,1]]},"reference":[{"key":"bibr1-JRCPE.2012.205","volume-title":"Malformations. In: Respiratory medicine. Gibson J, Geddes DM, Costable U et al, editors","author":"Bush A.","year":"2002"},{"key":"bibr2-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"2 Landing BH, Lawrence TY, Payne VC Jr Bronchial anatomy in syndromes with abnormal visceral situs, abnormal spleen and congenital heart disease. Am J Cardiol 1971; 28:456\u201362. http:\/\/dx.doi.org\/10.1016\/0002-9149(71)90010-5","DOI":"10.1016\/0002-9149(71)90010-5"},{"key":"bibr3-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"3 Bush A. Left bronchial isomerism, normal atrial arrangement and bronchomalacia mimicking asthma: a new syndrome? Eur Respir J 1999; 14:475\u20137. http:\/\/dx.doi.org\/10.1183\/09031936.99.14247599","DOI":"10.1034\/j.1399-3003.1999.14b38.x"},{"key":"bibr4-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"4 Raman R, Al-Ali SY, Poole CA Isomerism of the right atrial appendages: clinical, anatomical and microscopic study of a long surviving case with asplenia and ciliary abnormalities. Clinical Anatomy 2003; 16:269\u201376. http:\/\/dx.doi.org\/10.1002\/ca.10128","DOI":"10.1002\/ca.10128"},{"key":"bibr5-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"5 Chmura K, Chan ED, Noone PG A middle-aged woman with recurrent respiratory infections. Respiration 2005; 72:427\u201330. http:\/\/dx.doi.org\/10.1159\/000086260","DOI":"10.1159\/000086260"},{"key":"bibr6-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"6 Black H, Mendoza M, Murin S. Thoracic manifestations of inflammatory bowel disease.Chest 2007; 131:524\u201332. http:\/\/dx.doi.org\/10.1378\/chest.06-1074","DOI":"10.1378\/chest.06-1074"},{"key":"bibr7-JRCPE.2012.205","doi-asserted-by":"publisher","DOI":"10.1002\/9780470695999"},{"key":"bibr8-JRCPE.2012.205","doi-asserted-by":"publisher","DOI":"10.1159\/000101783"},{"key":"bibr9-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"9 Peeters H, Devriendt K. Human laterality disorders. Eur J Med Genet 2006; 49:349\u201362. http:\/\/dx.doi.org\/10.1016\/j.ejmg.2005.12.003","DOI":"10.1016\/j.ejmg.2005.12.003"},{"key":"bibr10-JRCPE.2012.205","first-page":"894","volume":"53","author":"Afzelius BA.","year":"1998","journal-title":"Genetics and pulmonary medicine. 6. Immotile cilia syndrome: past, present, and prospects for the future"},{"key":"bibr11-JRCPE.2012.205","doi-asserted-by":"crossref","unstructured":"11 Eley L, Yates LM, Cilia Goodship JA. and disease. Curr Opin Genet Dev 2005; 15:308\u201314. http:\/\/dx.doi.org\/10.1016\/j.gde.2005.04.008","DOI":"10.1016\/j.gde.2005.04.008"}],"container-title":["Journal of the Royal College of Physicians of Edinburgh"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/JRCPE.2012.205","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.4997\/JRCPE.2012.205","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:25:24Z","timestamp":1777616724000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.4997\/JRCPE.2012.205"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,6]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,6]]}},"alternative-id":["10.4997\/JRCPE.2012.205"],"URL":"https:\/\/doi.org\/10.4997\/jrcpe.2012.205","relation":{},"ISSN":["1478-2715","2042-8189"],"issn-type":[{"value":"1478-2715","type":"print"},{"value":"2042-8189","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,6]]}}}