•We present a case of atypical adenomyosis with clinical, laboratory, and imaging findings suggestive of a molar pregnancy.•Adenomyosis causes uterine enlargement and may appear cystic on vaginal ultrasound.•Falsely elevated β-hCG in the setting of obesity and hypothyroidism may complicate diagnosing abnormal uterine bleeding.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191572PMC
http://dx.doi.org/10.1016/j.gore.2020.100573DOI Listing

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