In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is:
Ans. is a, i.e. Salpingectomy and end to end anastomosisRef Dutta Obs 7/e, p 185In the question the patient is presenting with ruptured ectopic pregnancy therefore surgical management is a must and we have to do laparotomy. (option "c" ruled out)Always remember- In ruptured ectopic, the tube is already damaged so the only surgery which has to be done is Salpingectomy, whether the patient is a young/old or whether she is nulliparous or multiparous. Their is no role of Salpingostomy (i.e. option "d" ruled out). As discussed in previous question in case of ectopic pregnancy salpingo oophorectomy is never done (i.e. option "b" ruled out).
Salpingectomy and end to end anastomosis
Salpingo-oophorectomy
Wait and watch
Linear salpingostomy
Ecotopic Pregnancy