Ginkgo biloba: persistent bleeding after total hip arthroplasty caused by herbal self-medication.
We describe a case of persistent postoperative bleeding following total hip arthroplasty in which, initially, no obvious cause was identified. The patient was taking ginkgo biloba extract, an unlicensed herbal medicine taken to improve mental alertness. Ginkgo biloba is an anticoagulant that inhibits platelet-activating factor and is contraindicated with aspirin. Four weeks' postoperatively, the ginkgo was stopped, and the bleeding stopped 6 weeks later.
Bebbington
Andrew
A
Royal Gwent Hospital, Newport, Gwent, Wales.
Kulkarni
Rohit
R
Roberts
Paul
P
D000368:Aged; D019644:Arthroplasty, Replacement, Hip; D005260:Female; D020441:Ginkgo biloba / Q000009:adverse effects*; D006801:Humans; D010936:Plant Extracts / Q000009:adverse effects*; D019106:Postoperative Hemorrhage / Q000139:chemically induced*; D012651:Self Medication
D010936:Plant Extracts