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 |
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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 & 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. All rights reserved.</rights><rights>Copyright Elsevier Limited Sep 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-19313229adc2b8ae91ed14efd630dffa867ffb1cf91fccccd234a7eaf4dbcecf3</citedby><cites>FETCH-LOGICAL-c484t-19313229adc2b8ae91ed14efd630dffa867ffb1cf91fccccd234a7eaf4dbcecf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0952818016301350$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27555182$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morell-Garcia, Daniel, M.D</creatorcontrib><creatorcontrib>Bauça, Josep M., Ph.D</creatorcontrib><creatorcontrib>García-Suquía, Angela, Ph.D</creatorcontrib><creatorcontrib>Robles, Juan, M.D</creatorcontrib><creatorcontrib>Barceló, Bernardino, Ph.D</creatorcontrib><creatorcontrib>Fernández-Ballina, Andrea, M.D</creatorcontrib><creatorcontrib>Carlos-Vicente, Juan C., M.D</creatorcontrib><title>Green urine: A bezoar effect</title><title>Journal of clinical anesthesia</title><addtitle>J Clin Anesth</addtitle><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.</description><subject>Anesthesia & Perioperative Care</subject><subject>Bezoars - urine</subject><subject>Child</subject><subject>Color</subject><subject>Coloring Agents</subject><subject>Dyes</subject><subject>Green urine</subject><subject>Humans</subject><subject>Ileum - surgery</subject><subject>Intensive care</subject><subject>Male</subject><subject>Methylene Blue</subject><subject>Pain Medicine</subject><subject>Pediatrics surgery</subject><subject>Surgery</subject><subject>Urine</subject><issn>0952-8180</issn><issn>1873-4529</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkctKxDAUQIMoOj7-QGTAjZvW3KSP1IUooqMguFDXIU1uILXTjslU0K83ZRyF2ZhNCDn3dS4hJ0BToFCcN2mjW9epDlMW3ynNUsr4FpmAKHmS5azaJhNa5SwRIOge2Q-hoZTGD9gle6zM8xwEm5DjmUfspoN3HV5Mr6c1fvXKT9Fa1MtDsmNVG_Do5z4gr3e3Lzf3yePT7OHm-jHRmciWCVQcOGOVMprVQmEFaCBDawpOjbVKFKW1NWhbgdXxGMYzVaKymak1assPyNkq78L37wOGpZy7oLFt43j9ECQIXnKeV3kR0dMNtOkH38XuRiq2wUUJkSpWlPZ9CB6tXHg3V_5TApWjP9nItT85-pM0k9FfDDz5ST_UczS_YWthEbhaARh9fDj0MmiHnUbjfDQmTe_-r3G5kWKknFbtG35i-JtHBiapfB63OC4Rok7gOeXf4G6X8Q</recordid><startdate>20160901</startdate><enddate>20160901</enddate><creator>Morell-Garcia, Daniel, M.D</creator><creator>Bauça, Josep M., Ph.D</creator><creator>García-Suquía, Angela, Ph.D</creator><creator>Robles, Juan, M.D</creator><creator>Barceló, Bernardino, Ph.D</creator><creator>Fernández-Ballina, Andrea, M.D</creator><creator>Carlos-Vicente, Juan C., M.D</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7QO</scope><scope>7U7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>20160901</creationdate><title>Green urine: A bezoar effect</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-19313229adc2b8ae91ed14efd630dffa867ffb1cf91fccccd234a7eaf4dbcecf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Anesthesia & Perioperative Care</topic><topic>Bezoars - urine</topic><topic>Child</topic><topic>Color</topic><topic>Coloring Agents</topic><topic>Dyes</topic><topic>Green urine</topic><topic>Humans</topic><topic>Ileum - surgery</topic><topic>Intensive care</topic><topic>Male</topic><topic>Methylene Blue</topic><topic>Pain Medicine</topic><topic>Pediatrics surgery</topic><topic>Surgery</topic><topic>Urine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morell-Garcia, Daniel, M.D</creatorcontrib><creatorcontrib>Bauça, Josep M., Ph.D</creatorcontrib><creatorcontrib>García-Suquía, Angela, Ph.D</creatorcontrib><creatorcontrib>Robles, Juan, M.D</creatorcontrib><creatorcontrib>Barceló, Bernardino, Ph.D</creatorcontrib><creatorcontrib>Fernández-Ballina, Andrea, M.D</creatorcontrib><creatorcontrib>Carlos-Vicente, Juan C., M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Biotechnology Research Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Journal of clinical anesthesia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morell-Garcia, Daniel, M.D</au><au>Bauça, Josep M., Ph.D</au><au>García-Suquía, Angela, Ph.D</au><au>Robles, Juan, M.D</au><au>Barceló, Bernardino, Ph.D</au><au>Fernández-Ballina, Andrea, M.D</au><au>Carlos-Vicente, Juan C., M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Green urine: A bezoar effect</atitle><jtitle>Journal of clinical anesthesia</jtitle><addtitle>J Clin Anesth</addtitle><date>2016-09-01</date><risdate>2016</risdate><volume>33</volume><spage>306</spage><epage>308</epage><pages>306-308</pages><issn>0952-8180</issn><eissn>1873-4529</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27555182</pmid><doi>10.1016/j.jclinane.2016.04.023</doi><tpages>3</tpages></addata></record> |
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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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