Green urine: A bezoar effect

Abstract The green color in urine may suggest the presence of a severe pathology needing treatment. Many different potential causes of green urine have previously been reported. In our case, after ruling out other potential causes of green urine, it was suggested that the surgical manipulation of th...

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Veröffentlicht in:Journal of clinical anesthesia 2016-09, Vol.33, p.306-308
Hauptverfasser: Morell-Garcia, Daniel, M.D, Bauça, Josep M., Ph.D, García-Suquía, Angela, Ph.D, Robles, Juan, M.D, Barceló, Bernardino, Ph.D, Fernández-Ballina, Andrea, M.D, Carlos-Vicente, Juan C., M.D
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container_end_page 308
container_issue
container_start_page 306
container_title Journal of clinical anesthesia
container_volume 33
creator Morell-Garcia, Daniel, M.D
Bauça, Josep M., Ph.D
García-Suquía, Angela, Ph.D
Robles, Juan, M.D
Barceló, Bernardino, Ph.D
Fernández-Ballina, Andrea, M.D
Carlos-Vicente, Juan C., M.D
description Abstract The green color in urine may suggest the presence of a severe pathology needing treatment. Many different potential causes of green urine have previously been reported. In our case, after ruling out other potential causes of green urine, it was suggested that the surgical manipulation of the paralytic ileum might have induced the reabsorption of the methylene blue which had been retained in the bowel (bezoar effect), even 96 hours after the nasogastric administration. Conclusions The staff should keep in mind this possible effect due to methylene blue to recognize early and avoid unnecessary laboratory tests. Authors summary This case report illustrates the significance of urine discoloration, sometimes indicate the presence of a systemic disorder and some rare cases, this phenomenon has no pathologic effects. To our knowledge, this is the first case report of a green urine by drug bezoar due methylene blue in children.
doi_str_mv 10.1016/j.jclinane.2016.04.023
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Many different potential causes of green urine have previously been reported. In our case, after ruling out other potential causes of green urine, it was suggested that the surgical manipulation of the paralytic ileum might have induced the reabsorption of the methylene blue which had been retained in the bowel (bezoar effect), even 96 hours after the nasogastric administration. Conclusions The staff should keep in mind this possible effect due to methylene blue to recognize early and avoid unnecessary laboratory tests. Authors summary This case report illustrates the significance of urine discoloration, sometimes indicate the presence of a systemic disorder and some rare cases, this phenomenon has no pathologic effects. To our knowledge, this is the first case report of a green urine by drug bezoar due methylene blue in children.</description><identifier>ISSN: 0952-8180</identifier><identifier>EISSN: 1873-4529</identifier><identifier>DOI: 10.1016/j.jclinane.2016.04.023</identifier><identifier>PMID: 27555182</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Anesthesia &amp; Perioperative Care ; Bezoars - urine ; Child ; Color ; Coloring Agents ; Dyes ; Green urine ; Humans ; Ileum - surgery ; Intensive care ; Male ; Methylene Blue ; Pain Medicine ; Pediatrics surgery ; Surgery ; Urine</subject><ispartof>Journal of clinical anesthesia, 2016-09, Vol.33, p.306-308</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. 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subjects Anesthesia & Perioperative Care
Bezoars - urine
Child
Color
Coloring Agents
Dyes
Green urine
Humans
Ileum - surgery
Intensive care
Male
Methylene Blue
Pain Medicine
Pediatrics surgery
Surgery
Urine
title Green urine: A bezoar effect
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