Ginkgo biloba: persistent bleeding after total hip arthroplasty caused by herbal self-medication.
case_report · Level V
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- Record sourced from PubMed, PMID 15660071.
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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.
Medical subject headings
- Arthroplasty, Replacement, Hip
- Ginkgo biloba
- Plant Extracts
- Postoperative Hemorrhage
Anatomy
- hip