Choriocarcinoma is a highly malignant epithelial tumor arising from the trophoblastic tissue. It commonly occurs in women of reproductive age. Persistent gestational trophoblastic disease (GTD) following molar pregnancy is a potentially fatal complication that must be recognized early and treated aggressively for both immediate and long-term recovery. While complete molar pregnancies are rare, they are associated with a host of potential complications that include invasive gestational trophoblastic neoplasia. In this study, we report the case of a 21-year-old young woman who presented 1.5 months after evacuation of a molar pregnancy. She had invasive and metastatic gestational neoplasia (GTN) complicated by uterine rupture and hemoperitoneum. This was successfully managed by exploratory laparotomy and hysterectomy.
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