Uterine perforation due to invasive mole: a case report

Complete hydatidiform moles are known to have a potential for uterine invasion (15%) or
distant spread (4%). Factors that predispose to post molar tumor are ß –hCG level>100000
mIU/mL, uterine size greater than expected for gestational age, and theca lutein cysts> 6 cm
diameter and complete moles in older women. This is a case report about uterine perforation
due to invasive molar pregnancy.
The patient was a 43 years old woman who was admitted to emergency department due to
faint and lower abdominal pain. She had a history of suction curettage because of molar
pregnancy 4.5 months ago. Since that time she has not had any vaginal bleeding. Because of
acute abdomen and also sonographic report, emergency laparatomy was done. The uterine
fundus was perforated due to invasive mole so abdominal hysterectomy was performed.
Further evaluation didn’t show occult metastatic disease and the patient was treated with
single agent chemotherapy. The ß –hCG level gradually declined and became zero. Now the
patient is following and she has no problem.

Keywords

Gestational trophoblastic disease

Invasive mole

Uterine perforation

Hysterectomy

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