In a nulliparous woman, the treatment of choice in ruptured ectopic pregnancy is :
Salpingectomy and end to end anastomosis
Salpingo-oophorectomy
Wait and watch
Linear salpingostomy
Ans. is d i.e. Linear salpingostomy In the question the patient is presenting with ruptured ectopic pregnancy therefore surgical management is a must (option "c" ruled out) Since, the patient is a nulliparous woman so we will avoid radical surgery in the form of salpingectomy or salpingo-oophorectomy as far as possible. Now the only option of conservative surgery given in the options is--Linear salpingostomy, so we will go with it. "The woman who is hemodynamically stable and strongly desires to preserve feility is an appropriate candidate for salpingostomy."