A case of the left medial sectional bile duct joining the right hepatic duct

We present a case in which the medial sectional bile duct (B4) drained the right hepatic duct. A 42-year-old man was referred to our hospital after an abdominal ultrasound during a medical check-up revealed a gallbladder polyp. Magnetic resonance cholangiopancreatography did not adequately depict the hepatic hilum bile ducts; therefore, drip infusion cholangiography with computed tomography was performed, which revealed that B4 drained the right hepatic duct. The patient subsequently underwent laparoscopic cholecystectomy. His post-operative course was uneventful, and he was discharged on post-operative Day 3. The confluence of B4 into the right hepatic duct is extremely rare. We report this case along with a brief review of the literature.