International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2021 | Volume: 5 | Issue: 10 | Page No.: 39-41 An Acute Surgical Abdomen Revealing An Invasive Mole a Case Study Dr Hind Ennasser,Pr Hafsa Taheri,Pr Hanane Saadi ,Pr Ahmed Mimouni Abstract: Invasive mole is a gestational trophoblastic tumor characterized by myometrial invasion by molar vesicles which can lead to perforation of the uterine serosa. It is a serious but curable disease with very good chemosensitivity hence the need for an early diagnosis because it could be fatal in the absence of appropriate management. We report a case of a 37-year-old woman with a history of spontaneous abortion at home dating back one month. She presented to the emergency department with generalized abdominal pain, pallor and hemodynamic instability. The diagnosis of gestational trophoblastic tumor was suspected on the intrauterine tissue process on ultrasound with the elevated level of b-HCG which was 452,000 mIU / ml. The patient was conducted to the operating room for exploratory laparotomy, finding a uterine rupture requiring a hemostatic hysterectomy. This clinical case illustrates the possible and non-exceptional hemorrhagic expression of invasive mole.