An unusual instance of propofol-triggered green urine in anesthesia management: A case report

Abstract

Abstract Green urine is a rare and harmless side effect of propofol administration, occurring in less than 1% of cases. Urine discoloration following a single propofol bolus for induction of anesthesia is uncommon, benign, and entirely reversible upon cessation of propofol. Here, we present a case of green urine induced by a single dose (bolus) of propofol and discuss other potential endogenous and exogenous factors that could cause urine discoloration. Our case report aims to raise awareness among intensivists, physicians, and patients, helping to avoid unnecessary laboratory testing, initiating empirical broad-spectrum antibiotics, and anxiety associated with this unusual presentation.