All India Congress of Obstetrics & Gynaecology, 04–08 Jan 2009 · Birla Auditorium, Jaipur

Invasive hydatidiform mole is a relatively rare form of gestational trophoblastic disease (GTD). An invasive mole causing uterine perforation is a rare occurrence. We report a rare case of perforating mole. Mrs. M.B., Age 35 years, Parity 4 was admitted with complaints of pain abdomen and bleeding P/V off and on for past two months. Past History - evacuation of vesicular moie before 2/2 months. On clinical examination there was fullness and tenderness in lower abdomen, uterus was enlarged to 14 weeks of gestation and tender. On laparotomy, molar tissue was seen perforating through uterine wall at several places. Abdominal hysterectomy done. Post operative chemotherapy EMACO regimen given.