This can be due to a tubal bleed, the formation of a hematoma ... However, if a patient presents in hypovolemic shock with a ruptured ectopic pregnancy, laparotomy and salpingectomy remain the ...

This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when ...

You can rarely expect a medical emergency after an ovarian cyst ruptures. It could be life-threatening if it causes extreme pain or severe bleeding ... get too large. Laparotomy and laparoscopy ...