Transabdominal ultrasound-guided follicular aspiration in case of Müllerian anomaly with ovarian malposition

Abstract

Objectives: To describe the approach of transabdominal ultrasound-guided oocyte retrieval in a patient of Müllerian anomaly and ovarian malposition. Design: Case report. Setting: A tertiary referral reproductive medicine unit. Patient: A 23-year-old patient with Müllerian anomaly (right unicornuate with left rudimentary horn uterus) and ovarian malposition. Intervention: Controlled ovarian hyperstimulation, transabdominal ultrasound-guided oocyte retrieval. Main outcome measure: Total and mature oocytes retrieved, fertilization rate, embryo number, and quality. Results: Five oocytes were retrieved transabdominally, using percutaneous needle puncture under ultrasound guidance. Conclusion: In in vitro fertilization protocols, patients with Müllerian anomaly with vaginally inaccessible ovaries, transabdominal ultrasound-guided follicular aspiration is a safe and efficacious alternative technique for oocyte retrieval.