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.