Green Urine Discoloration due to Propofol Infusion: A Case Report

Nobuki Shioya; Yoriko Ishibe; Shigehiro Shibata; Hideyuki Makabe; Shigenori Kan; Naoya Matsumoto; Gaku Takahashi; Yasuhiko Yamada; Shigeatsu Endo

doi:10.1155/2011/242514

Case Reports in Emergency Medicine (Jan 2011)

Green Urine Discoloration due to Propofol Infusion: A Case Report

Nobuki Shioya,
Yoriko Ishibe,
Shigehiro Shibata,
Hideyuki Makabe,
Shigenori Kan,
Naoya Matsumoto,
Gaku Takahashi,
Yasuhiko Yamada,
Shigeatsu Endo

Affiliations

Nobuki Shioya: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Yoriko Ishibe: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Shigehiro Shibata: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Hideyuki Makabe: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Shigenori Kan: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Naoya Matsumoto: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Gaku Takahashi: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Yasuhiko Yamada: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan
Shigeatsu Endo: Department of Critical Care and Emergency, Iwate Prefectural Advanced Critical Care and Emergency Center, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, Japan

DOI: https://doi.org/10.1155/2011/242514
Journal volume & issue: Vol. 2011

Abstract

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We present a 19-year-old man who excreted green urine after propofol infusion. The patient was admitted to our hospital for injuries sustained in a traffic accident and underwent surgery. After starting continuous infusion of propofol for postoperative sedation, his urine became dark green. Serum total bilirubin and urine bilirubin were both elevated. We believe that the green discoloration of the urine was caused by propofol infusion and was related to impaired enterohepatic circulation and extrahepatic glucuronidation in the kidneys.

Published in Case Reports in Emergency Medicine

ISSN: 2090-648X (Print); 2090-6498 (Online)
Publisher: Hindawi Limited
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Medical emergencies. Critical care. Intensive care. First aid
Website: https://onlinelibrary.wiley.com/journal/6058

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