A twenty years old woman has been brought to casualty with history of acute pain in abdomen and bleeding per vaginum since 6 hrs . On examination, she is drowsy BP is 70/40 mm Hg, pulse rate 120/min. and a positive urine pregnancy test. She should be managed by :-
The above history is suggestive of Ruptured ectopic. The management of this case is immediate laparotomy Laparoscopy should be employed only when the patient is hemodynamically stable
Immediate laparotomy
Laparoscopy
Culdocentesis
Resuscitation followed by Medical management
Ectopic Pregnancy (Hello ! Where are you ?)