Charting the Unknown: Green Urine After Propofol in Pediatric Trauma
Reda El Farh, Othman Moueqqit, Zakaria Bouayed, Ilias El Kadiri Boutchich, Omar Alaoui Mhammedi, Wael El Fergui, Ghizlane El Aidouni, Houssam Bkiyar, Brahim Housni

TL;DR
A 15-year-old trauma patient developed green urine after receiving propofol, highlighting a rare but important side effect of the medication.
Contribution
This case report documents a rare instance of propofol-induced green urine in a pediatric trauma patient.
Findings
Green urine appeared 48 hours after propofol administration in a trauma patient.
The discoloration resolved spontaneously within 12 hours without intervention.
The case highlights the importance of recognizing medication-related urine color changes.
Abstract
The phenomenon of green urine discoloration, while rare, represents a captivating clinical puzzle that challenges the distinction between benign and pathological conditions. In this report, we present an intriguing case involving a 15-year-old trauma patient admitted following a motorcycle collision, where the ensuing unconsciousness necessitated propofol induction for intubation and sedation. Remarkably, around 48 hours post-admission, the patient displayed green urine discoloration, which resolved spontaneously within just 12 hours. This case serves as a compelling illustration of the uncommon occurrence of propofol-induced green urine in the context of critical care management, underscoring the imperative need to discern and appreciate medication-related chromatic alterations in urine.
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Taxonomy
TopicsMethemoglobinemia and Tumor Lysis Syndrome · Chemotherapy-related skin toxicity · Sympathectomy and Hyperhidrosis Treatments
