A 24-year-old woman is urgently hospitalized in the gynecological department with suspected peritonitis. She appears pale, with a pulse of 102 beats per minute, blood pressure of 120/70 mm Hg, and a temperature of 38.7°C. Her tongue is dry. Medical history reveals that an abortion was performed 12 hours ago. There are pronounced signs of peritoneal irritation throughout the abdomen. Bimanual examination shows that the contours of the uterus and adnexa are not clearly defined due to severe pain and tension of the anterior abdominal wall. Blood tests reveal leukocytosis at 13x10^9/l. What is the appropriate therapeutic approach?

a. Conservative treatment
b. Hysteroscopy
c. Urgent laparotomy
d. Cold application on the lower abdomen and observation
e. Diagnostic laparoscopy

The correct therapeutic tactic for the woman with post-abortion peritonitis is an urgent laparotomy, as her condition requires emergency surgical intervention to prevent life-threatening complications.Therefore, the correct answer is option c. Urgent laparotomy

In the case of a 24-year-old woman urgently hospitalized with peritonitis after an abortion, with symptoms including pallor, elevated pulse and temperature, dry tongue, severe abdominal pain, unclear uterine and annexes contours, and leukocytosis, the appropriate therapeutic tactic is c. Urgent laparotomy. Peritonitis is often life-threatening and requires emergency surgery to address the source of infection and inflammation. Given the woman's signs of peritoneal irritation, abdominal pain, and the history of a recent abortion, immediate surgical intervention is critical to prevent further complications such as sepsis and organ failure.