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A 30 year old female G5P3L3A1 was referred to SCBMCH, Cuttack from Baripada district for management of bleeding P/V , hypovolemic shock and severe anemia. With a history of oral abortifecant intake 1 month back at 2 MOA from a private practitioner No history of bleeding P/V or passage of fleshy mass after intake of oral abortifecant. She had now presented with bleeding P/V and pain abdomen for 1 day. Her UPT and paracentesis is positive with no significant medical history. She had cold clammy extremities with PR 168 bpm, BP-60 mm hg systolic, RR-24/min, P/A-guarding,rigidity +, uterus approx. 20 weeks size, tense tender abdomen.P/V- os closed, b/l fornices full, no active bleeding, no cervical motion tenderness. No blood investigations and ultrasound were available. Her B-HCG was 88000 and patient was taken for emergency exploratory laparotomy. Obs. Hysterectomy was done for perforation present over posterior aspect of uterus by a molar pregnancy. She was transfused with 5 units of PRBC. Post op patient was hemodynamically stable.