A young patient has total bilirubin- 26 mg/dl, direct bilirubin- 14 mg/dl, ALP- 158 mg/dL. Bile salts and pigments are present in urine, while urobilinogen is absent. The jaundice in this case is

This patient has predominantly direct (conjugated) hyperbilirubinemia (14/26 mg/dl) with bile salts and pigments in urine but absent urobilinogen. This pattern is classic for obstructive jaundice where conjugated bilirubin cannot enter the intestine and thus no urobilinogen is formed. Hemolytic jaundice shows unconjugated hyperbilirubinemia with increased urobilinogen.