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 :-: (A) Immediate laparotomy, (B) Laparoscopy, (C) Culdocentesis, (D) Resuscitation followed by Medical management
Answer is A. 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