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7400 Surgery

A 32-year-old female had been unable to become pregnant for 6 years. Three weeks previously, she missed her period. She was admitted to hospital with left-side lower abdominal pain and nausea. Her B subunit human chorionic gonadotropin (HCG) and pelvic ultrasound confirms an ectopic pregnancy. Treatment includes which of the following?

AImmediate laparotomy and salpingectomy
BIf unruptured, the fallopian tube should be spared
CAvoid incidental appendectomy
DIf stable, avoid surgery
Surgery
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