A 45-year-old woman presents with yellow discoloration of the skin, clay-colored stool, and dark urine. She is obese, but otherwise healthy. She has long-standing digestive troubles and an intolerance to fatty meals for which she takes antispasmodic medications. On examination, there is mild tenderness in the upper right abdominal quadrant; serum bilirubin shows elevated total and conjugated types, as well as normal unconjugated bilirubin.
What is the most likely cause of her jaundice?
A) Obstructive reasons
B) Hemolytic anemia
C) Hepatic enzyme deficiency
D) Hepatitis
E) Drug-induced hemolysis
