Invasive Mole Presenting as Acute Haemoperitoneum

ABSTRACT

We report a case of invasive hydatidiform mole presenting as an acute primary haemoperitoneum. The patient presented with acute abdominal pain and signs of haemoperitoneum. Emergency laparotomy revealed a molar pregnancy perforating through the uterine fundus, resulting in massive haemoperitoneum. The serum beta chorionic gonado-tropin (ß-hCG) levels regressed spontaneously following evacuation of the molar pregnancy.