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

ObjectiveTo 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.DesignTechnique and instrumentation.SettingA 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.