A 45-year-old woman is admitted to the intensive care unit with a vertebral fracture, multiple rib fractures, and bilateral hemothoraces following a motor vehicle accident. She has spina bifida and a long-standing indwelling urinary catheter. She remains sedated and is intubated post-operatively. Her vital signs are stable although her nurse notices that she is passing green-colored urine.
What is the most likely cause of this patient’s discolored urine?
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