A rare case of life-threatening invasive mole

  • R Shah Department of Obstetrics and Gynecology, Karnali Academy of health Sciences
  • AM Samal Department of General Practice and Emergency Medicine, Karnali Academy of health Sciences


A 23-year-old female with a known case of partial mole and under hCG follow up presented with acute abdominal pain and signs of hemoperitoneum. Emergency laparotomy revealed a molar pregnancy perforating through the uterine fundus, resulting in massive haemoperitoneum of 4 litres. Total abdominal hysterectomy was done. The serum β-hCG level regressed following hysterectomy.

Keywords: molar pregnancy, invasive mole, haemoperitoneum.