Summary : This seems to be a case of a woman with a metastatic invasive mole presenting with a haemoperitoneum 3 weeks after termination of a first trimester pregnancy. We accepted this case for publication to remind readers of the wide range of presentations of gestational trophoblastic disease (hydatidiform mole, invasive mole, choriocarcinoma). This case report is brief but it seemed to the reviewer that the bleeding could have arisen from a superficial metastasis rather than uterine rupture from an invasive mole extending from deeper within the uterus. The success of the suture in controlling the bleeding suggests the former possibility to be more likely. The moral of this case is when in diagnostic doubt in gynaecology, arrange for urinary or plasma HCG assay although in the case reported the acute presentation made laparotomy mandatory.
