title: Ginkgo biloba: persistent bleeding after total hip arthroplasty caused by herbal self-medication.
abstract: 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.
authors.affiliation: Royal Gwent Hospital, Newport, Gwent, Wales.
authors.forename: Andrew
authors.initials: A
authors.lastname: Bebbington
authors.forename: Rohit
authors.initials: R
authors.lastname: Kulkarni
authors.forename: Paul
authors.initials: P
authors.lastname: Roberts
mesh_terms: 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
chemical_list: D010936:Plant Extracts