The use of ultrasound guided transvaginal probe on the anterior abdominal wall for follicular aspiration in a patient with inaccessible ovaries by transvaginal ultrasound.

Objective: To evaluate the effectiveness of ultrasound guided tranvaginal probe placed on the anterior abdominal wall for oocyte retrieval in a patient whose ovaries were not visible trans-vaginally.

Design: A case report

Setting: Medical ART Center, Nigeria- Private IVF clinic with an academic setting

Patient(s): A 35 yr old woman undergoing IVF treatment with ovaries difficult to visualize trans-vaginally having ovarian stimulation pressure effect.

Intervention(s): Ultrasound guided oocyte aspiration through the abdominal wall using the trans-vaginal probe.

Main outcome measures: Number of oocytes retrieved.

Results: 9 oocytes were successfully aspirated using the ultrasound scan guided probe placed over the anterior abdominal wall.

Conclusion: Successful oocyte retrieval can be achieved via the abdominal puncture with the aid of a trans-vaginal ultrasound probe placed on the abdominal wall.