Résumé

Le Dispositif Intra utérin (DIU) constitue l’une des méthodes de contraception les plus utilisées dans le monde. Son insertion, théoriquement simple, peut être émaillée de complications graves telles que la perforation utérine. Nos observations concernent deux cas de perforation utérine immédiate typique sur le plan clinique, échographique et radiologique. La sanction chirurgicale est la règle car elle apporte la confirmation diagnostique et permet d’établir le bilan des lésions. La perforation utérine immédiate résulte souvent d’une mauvaise indication et/ou d’une mauvaise technique d’insertion. La prévention repose sur le respect des contre-indications, la douceur des gestes techniques et la surveillance régulière des bénéficiaires du DIU.

Summary
Immediate uterine perforation due to I.U.D. About two cases

The Intra Uterine Device (IUD) is one of the more used contraception methods in the world. Its insertion seems theoretically simple, but serious complications may occur such as the uterine perforation. Our cases concern two patients with clinical, ultrasound and abdomen X-ray data, which are typically in favour of an immediate uterine perforation. The surgery is necessary ; it confirms the diagnosis and the presence or not of intra abdominal lesions. The immediate uterine perforation is often due to a bad indication and/or to a technical defect of the IUD insertion. As prevention, it is recommended to avoid IUD contra-indications, to take care of the technical gesture and to establish a regular examination of IUD user.