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We report a case of invasive mole presenting as an haemoperitoneum. The patient presented with acute abdominal pain vagina bleeding, and amenorrhoea of 10 weeks duration. Emergency laparotomy revealed a invasive mole perforating through the uterine isthmus, resulting an haemoperitoneum. Hysterectomy was performed followed by chemotherapy. She had no side effects of chemotherapy and adhered to the follow up schedule.

Invasive mole of the uterus: A description of one case managed by hysterectomy and chemotherapy