You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is: and explain in detail?
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).