Congenital Zika virus syndrome comprises a series of fetal malformations, mainly of the central nervous system, that share a pattern of brain atrophy and disorders in neuronal migration, and that have in microcephaly their most striking and severe expression. Ultrasonography plays the most important role in the screening of brain lesions in the fetuses of pregnant women exposed to Zika virus, so the importance of establishing a systematic evaluation in the routine ultrasound controls of pregnant women in areas of transmission of the disease becomes apparent. It is also important to note that fetal neurosonography is the reference standard in the evaluation of fetal brain anatomy and should be part of the diagnostic algorithm in all suspected cases.

Agenesis of corpus callosum (ACC) is a central nervous system fetal anomaly of variable outcome; prenatal diagnosis is difficult due to the limitations of conventional ultrasound such as difficult visualization of the corpus callosum and obtaining adequate planes. Diagnosis is suspected on indirect signs and must be confirmed by neurosonography. 3D evaluation offers some advantages in fetal brain examination; the volume obtained allows generation of multiple planes that optimize the neurosonography study. We present a case of prenatal diagnosis of a fetus with ACC performed by 3D volumetric neurosonography and its role as new alternative for midline brain anomalies evaluation.Keywords: Corpus callosum agenesis, neurosonography, 3D ultrasound, brain midline.

Respiratory distress syndrome (RDS) of the newborn remains a major cause of morbidity and mortality in preterm infants. Although the latest scientific evidence questions the utility of fetal lung maturity testing to determine the most suitable moment for delivery in certain obstetrical complications, there is a set of relative indications in which a non-invasive test can find application. The aim of this paper is to review studies published on the use of ultrasound as a method to predict neonatal respiratory morbidity, using both Doppler evaluation of the pulmonary artery and ultrasound quantitative analysis of fetal lung texture.

Bladder endometriosis is a rare medical entity, diagnosed by clinical and imaging procedures. Transvaginal ultrasound is the first line technique for diagnosis. The treatment is laparoscopic, with good results. We present the case of a patient with this pathology, with multidisciplinary surgical approach and satisfactory evolution in the control of the disease.

Congenital chylotorax is a rare anomaly associated with high perinatal mortality when accompanied by hydrops fetalis. Thoracentesis and pleuroamniotic shunting have proven to be alternative successful options for antenatal treatment, but there is still controversy on which is first choice. In Peru there are no reports of similar cases treated in utero. We report a case of a 37½ weeks pregnancy affected with massive lateonset congenital chylotorax successfully treated by intrauterine thoracentesis. Adequate lung expansion was achieved, allowing the birth of a baby who did not present respiratory failure and did not require subsequent ventilatory support. This paper shows intrauterine thoracentesis is a viable treatment option for similar cases in Peru.

Agenesis of corpus callosum (ACC) is a central nervous system fetal anomaly of variable outcome; prenatal diagnosis is difficult due to the limitations of conventional ultrasound such as difficult visualization of the corpus callosum and obtaining adequate planes. Diagnosis is suspected on indirect signs and must be confirmed by neurosonography. 3D evaluation offers some advantages in fetal brain examination; the volume obtained allows generation of multiple planes that optimize the neurosonography study. We present a case of prenatal diagnosis of a fetus with ACC performed by 3D volumetric neurosonography and its role as new alternative for midline brain anomalies evaluation.Keywords: Corpus callosum agenesis, neurosonography, 3D ultrasound, brain midline.

Congenital chylotorax is a rare anomaly associated with high perinatal mortality when accompanied by hydrops fetalis. Thoracentesis and pleuroamniotic shunting have proven to be alternative successful options for antenatal treatment, but there is still controversy on which is first choice. In Peru there are no reports of similar cases treated in utero. We report a case of a 37½ weeks pregnancy affected with massive lateonset congenital chylotorax successfully treated by intrauterine thoracentesis. Adequate lung expansion was achieved, allowing the birth of a baby who did not present respiratory failure and did not require subsequent ventilatory support. This paper shows intrauterine thoracentesis is a viable treatment option for similar cases in Peru.

Objectives: To determine surgical hysteroscopy findings and experience. Design: Retrospective study. Setting: Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Peru. Participants: Women with uterine pathology. Interventions: Between January 1 2012 and December 31 2013, 122 surgical histerocopies were performed in 122 women 23-58 years old. Results: Preoperative diagnosis was polyps in 87 patients, myomas in 24 patients, uterine adherences in 6 patients and other causes in 5 patients. Polyps and fibroids diagnosis was mostly in patients 31-48 years old. Diagnosis was by ultrasound in 64.8%, sonohysterography in 31.2%, hysterosalpingography in 3.2%, and computerized axial tomography in one case (0.8%). Misoprostol was used prior to surgery in 77 patients (63.1%), general anesthesia in 99% (only one epidural) and glycine as distension medium in 105 patients as well as saline in 17. ...

Objectives: To determine surgical hysteroscopy findings and experience. Design: Retrospective study. Setting: Centro de Endoscopia Ginecológica Peruano Alemán, Lima, Peru. Participants: Women with uterine pathology. Interventions: Between January 1 2012 and December 31 2013, 122 surgical histerocopies were performed in 122 women 23-58 years old. Results: Preoperative diagnosis was polyps in 87 patients, myomas in 24 patients, uterine adherences in 6 patients and other causes in 5 patients. Polyps and fibroids diagnosis was mostly in patients 31-48 years old. Diagnosis was by ultrasound in 64.8%, sonohysterography in 31.2%, hysterosalpingography in 3.2%, and computerized axial tomography in one case (0.8%). Misoprostol was used prior to surgery in 77 patients (63.1%), general anesthesia in 99% (only one epidural) and glycine as distension medium in 105 patients as well as saline in 17. ...