Uterine perforation due to invasive mole: a case report

Abstract

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.