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.


METHODS
Case report.


METHODS
A tertiary-referral reproductive medicine unit.


METHODS
A 26-year-old patient with müllerian agenesis. Her 44-year-old mother served as the gestational carrier.


METHODS
Controlled ovarian hyperstimulation, transabdominal-transperitoneal ultrasound-guided oocyte retrieval, embryo transfer.


METHODS
Oocyte recovery rate, fertilization rate, pregnancy test.


RESULTS
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.


CONCLUSIONS
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.
Damario
Mark A
MA
Division of Reproductive Endocrinology, Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USA. damario.mark@mayo.edu
D000005:Abdomen; D000328:Adult; D004624:Embryo Transfer; D005260:Female; D006059:Gonadal Dysgenesis; D006801:Humans; D009095:Mullerian Ducts / Q000002:abnormalities*; D009865:Oocytes; D010537:Peritoneum; D011247:Pregnancy; D011272:Pregnancy, Multiple; D011677:Punctures; D025321:Surgery, Computer-Assisted; D013533:Gestational Carriers; D020858:Tissue and Organ Harvesting / Q000379:methods*; D014427:Twins; D014465:Ultrasonics