<prompt> All of the following patients presenting with abdominal pain and shock need immediate laparotomy exceptRuptured ectopic preganancyHemorrhagic pancreatitisRupture abdominal Aoic aneurysmRuptured liver hemangioma  <response>: All of the following patients presenting with abdominal pain and shock need immediate laparotomy except hemorrhagic pancreatitis Bailey says In peritonitis due to pancreatitis or salpingitis, or in cases of primary peritonitis of streptococcal or pneumococcal origin, non operative treatment is preferred Sabiston says Ruptured ectopic is a surgical emergency Definitive treatment of ruptured Aoic aneurysm is operation, not monitoring and resuscitation Maongots says regarding liver hemangioma Intra abdominal hemorrhage is extremely uncommon, but when does it occur, it should be considered as a life threatening emergency and treated with combination of angiography with embolization and surgery Ref: Bailey and love 27th edition Pgno : 1144 Sabiston 20th edition Pgno :1528 Manigots 11th edition Pgno :786,977 