Ultrasonographic-guided percutaneous transabdominal puncture for oocyte retrieval in a rare patient with Rokitansky syndrome in an in vitro fertilization surrogacy program.

OBJECTIVE

To describe the option of ultrasonographic-guided percutaneous transabdominal puncture for ovum pickup in a rare case of Rokitansky syndrome with subcostal located ovaries and a right single kidney.

DESIGN

Technique and instrumentation.

SETTING

A university-based hospital IVF and Reproductive Medicine Unit.

PATIENT(S): A woman with congenital agenesis of the uterus in a surrogate gestation program.

INTERVENTION(S): Ultrasonographic-guided percutaneous transabdominal puncture for oocyte retrieval.

MAIN OUTCOME MEASURE(S): Number of oocytes retrieved and fertilized.

RESULT(S): Oocyte retrieval was feasible in four treatment cycles with subsequent embryo transfer to the surrogate mother.

CONCLUSION(S): Ultrasonographic-guided percutaneous transabdominal oocyte collection is a feasible and efficacious procedure for IVF in a case of Rokitansky syndrome with elevated subcostal ovaries and a single kidney.