The New Indian Journal of OBGYN 3(2)

Interesting case of invasive mole with hemoperitoneum

Savita Kamble, Tejaswini Kale (Pingle)

ABSTRACT

Trophoblastic diseases comprise a variety of biologically interrelated conditions which form a clinical spectrum from benign partial hydatidiform mole at the one end to the highly malignant choriocarcinoma at the other without any precise line of demarcation. A case of invasive hydatidiform mole also called as Chorioadenoma destruens presenting as an acute primary haemoperitoneum. The patient presented in shock with acute abdominal pain and signs of haemoperitoneum. Emergency laparotomy revealed a molar pregnancy perforating through the uterine fundus, resulting in massive haemoperitoneum. Hysterectomy was done as a life saving procedure considering the patient in shock, massive hemoperitoneum and irreparable damage to the uterus.