We report a rare case of invasive mole causing uterine rupture and massive hemoperitoneum, masquerading as ectopic pregnancy. A 22-year-old woman presented with severe abdominal pain and shock at 6 weeks gestation. Imaging suggested ectopic pregnancy, but laparotomy revealed 2000cc of hemoperitoneum and a perforated uterus with grape-like vesicles and active bleeding. Despite evacuation and devascularization, bleeding persisted, necessitating a life-saving total abdominal hysterectomy.