Snapshot A 22-year-old motorcycle accident victim with unknown past medical history is brought into the ED with severe head injuries. He is stabilized and brought to the surgical ICU where he is deemed to be brain dead by both the intensivist and neurosurgery staff. The organ transplant team is contacted and determine that he is an eligible kidney donor. However, he is not eligible for liver donation. Upon entering the abdomen during harvest, the team notices that his liver is black. Introduction Hereditary conjugated hyperbilirubinemia login to view 2 more bullets Two types login to view 6 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 2 more bullets Imaging Dubin-Johnson syndrome login to view 1 more bullet Rotor syndrome login to view 1 more bullet Studies Laboratory studies login to view 7 more bullets Gross pathology login to view 1 more bullet Treatment Benign condition No treatment required