Transabdominal-transperitoneal ultrasound-guided oocyte retrieval in a patient with müllerian agenesis.

OBJECTIVE

To describe the approach of transabdominal-transperitoneal ultrasound-guided oocyte retrieval undertaken in a patient with müllerian agenesis and ovarian malposition who underwent a successful gestational carrier treatment cycle.

DESIGN

Case report.

SETTING

A tertiary-referral reproductive medicine unit.

PATIENT(S): A 26-year-old patient with müllerian agenesis. Her 44-year-old mother served as the gestational carrier.

INTERVENTION(S): Controlled ovarian hyperstimulation, transabdominal-transperitoneal ultrasound-guided oocyte retrieval, embryo transfer.

MAIN OUTCOME MEASURE(S): Oocyte recovery rate, fertilization rate, pregnancy test.

RESULT(S): Six oocytes were retrieved using a percutaneous transperitoneal needle puncture under ultrasound guidance. Two cleavage-stage embryos were transferred to the gestational carrier, resulting in a twin pregnancy.

CONCLUSION(S): For various reasons, patients with müllerian agenesis may not be candidates for standard transvaginal ultrasound-guided oocyte retrieval. Although laparoscopic oocyte retrieval has been frequently used in this setting, the approach of transabdominal-transperitoneal ultrasound-guided oocyte retrieval may offer further advantages in select cases.