In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is :
Ans. is d i.e. Linear salpingostomy In the question the patient is presenting with ruptured ectopic pregnancy therefore surgical management is a must (option "c" ruled out) Since, the patient is a nulliparous woman so we will avoid radical surgery in the form of salpingectomy or salpingo-oophorectomy as far as possible. Now the only option of conservative surgery given in the options is--Linear salpingostomy, so we will go with it. "The woman who is hemodynamically stable and strongly desires to preserve feility is an appropriate candidate for salpingostomy."
Salpingectomy and end to end anastomosis
Salpingo-oophorectomy
Wait and watch
Linear salpingostomy