Society and culture
Salpingectomy as a treatment for ectopic pregnancy is one of the common cases when the principle of double effect can be used to justify accelerating the death of the embryo by doctors and patients opposed to outright abortions.In the Catholic Church, there are moral debates on certain treatments. A significant number of Catholic moralists consider use of methotrexate and the salpingostomy procedure to be not "morally permissible" because they destroy the embryo; however, situations are considered differently in which the mothers health is endangered, and the whole fallopian tube with the developing embryo inside is removed.Organisations exist that provide information and support to help those who experience ectopic pregnancy. Studies show that people can experience post-traumatic stress, depression, and anxiety for which they would need specialist therapies. Partners can also experience post-traumatic stress. Live birth
There have been cases where ectopic pregnancy lasted many months and ended in a live baby delivered by laparotomy. In July 1999, Lori Dalton gave birth by caesarean section in Ogden, Utah, United States, to a healthy baby girl, Saige, who had developed outside of the uterus. Previous ultrasounds had not discovered the problem. "[Dalton]s delivery was slated as a routine Caesarean birth at Ogden Regional Medical Center in Utah. When Dr. Naisbitt performed Loris Caesarean, he was astonished to find Saige within the amniotic membrane outside the womb ... ." "But what makes this case so rare is that not only did mother and baby survive—theyre both in perfect health.
Gas is easily visualized on x-ray while the patient is in an upright position. The perforation can often be visualised using computed tomography. White blood cells are often elevated. Treatment
Surgical intervention is nearly always required in the form of exploratory laparotomy and closure of perforation with peritoneal wash. Occasionally they may be managed laparoscopically. A Graham patch may be used for duodenal perforations. Conservative treatment including intravenous fluids, antibiotics, nasogastric aspiration and bowel rest is indicated only if the person is nontoxic and clinically stable. References
External links

Gastrointestinal perforation—MedlinePlus