EJMCR |

Case Report

Volume: 4 | Issue: 9 | Published: Sep 28, 2020 | Pages: 305 - 307 | DOI: 10.24911/ejmcr/173-1588701005

Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose

Authors: Alan Michael Greenstein , Daniel Heaton

Authors

Alan Michael Greenstein

ACCS (Acute Care Common Stem) Anesthetics Trainee, CT1, Acute Medicine Unit, University College Hospital, London, United Kingdom

Daniel Heaton

Consultant Anesthetist, Department of Anesthesia, University College Hospital, London, United Kingdom

Publication History

Received: May 05, 2020

Accepted: August 25, 2020

Published: September 28, 2020

Abstract

Background: Green discoloration of urine following propofol use is a rare yet benign side effect. While rare with propofol infusions, it is even less recognized following single doses of propofol and can cause anxiety for both patients and healthcare professionals. Case Presentation: This paper presents the case of a patient with alcohol-induced liver cirrhosis who transiently produced green urine following a single dose of propofol at the induction of anesthesia. The exact incidence and mechanism are not known; however, it is thought to be due to the extrahepatic pharmacokinetics associated with propofol metabolism and clearance. Due to its rarity, it can propagate anxiety and lead to unnecessary investigations. Conclusion: Propofol is a very commonly used anesthetic drug. The case highlights that the prompt recognition of this rare adverse effect can prevent unnecessary investigations and provide reassurance to the patient and healthcare providers.

Keywords: Propofol, anesthesia, case report, pharmacokinetics, adverse effects, hepatic dysfunction, green

Pubmed Style

Alan Michael Greenstein, Daniel Heaton. Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose. EJMCR. 2020; 28 (September 2020): 305-307. doi:10.24911/ejmcr/173-1588701005

Web Style

Alan Michael Greenstein, Daniel Heaton. Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose. https://ejmcr.com/articles/1397 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1588701005

AMA (American Medical Association) Style

Vancouver/ICMJE Style

Alan Michael Greenstein, Daniel Heaton. Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose. EJMCR. (2020), [cited December 25, 2024]; 28 (September 2020): 305-307. doi:10.24911/ejmcr/173-1588701005

Harvard Style

Alan Michael Greenstein, Daniel Heaton (2020) Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose. EJMCR, 28 (September 2020): 305-307. doi:10.24911/ejmcr/173-1588701005

Chicago Style

Alan Michael Greenstein, Daniel Heaton. "Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose." 28 (2020), 305-307. doi:10.24911/ejmcr/173-1588701005

MLA (The Modern Language Association) Style

Alan Michael Greenstein, Daniel Heaton. "Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose." 28.September 2020 (2020), 305-307. Print. doi:10.24911/ejmcr/173-1588701005

APA (American Psychological Association) Style

Alan Michael Greenstein, Daniel Heaton (2020) Bizarre bleeps-a case report of propofol-induced urine discoloration following a single dose. , 28 (September 2020), 305-307. doi:10.24911/ejmcr/173-1588701005