Uterine perforation is a serious complication after insertion of an intrauterine device (IUD). We report the case of a 34-year-old woman receiving in consultation for abdominal pain. In the interrogation there was a notion of IUD insertion for about a week. The gynecological examination did not find the thread of IUD and the ultrasound performed did not visualize an IUD. Radiography of the abdomen without preparation highlighted a compatible intrapelvic foreign thing like an IUD. The diagnosis of pelvic inflammatory disease by uterine perforation by an IUD was thus retained. We suggest in case of suspicion of uterine radio paque IUD perforation achieving radiography when the abdominal pelvic ultrasound is normal.

Reçu le 17 février 2015 ; accepté le 5 mai 2015 © Lavoisier SAS 2015Résumé L'invagination colique sur lipome est rare.Nous rapportons le cas d'une invagination iléo-colique sur lipome du côlon droit survenue chez une femme de 42 ans. La présentation clinique et échographique initiale avait orienté le diagnostic vers une pathologie urinaire. L'apparition d'un syndrome occlusif et la mise en évidence à la tomodensitométrie (TDM) d'une invagination iléo-colique a permis de réaliser une hémicolectomie droite. L'examen anatomopathologique de la pièce opératoire a confirmé le diagnostic de lipome. Conclusion : Le lipome colique est rare. Sa symptomatologie est peu spécifique. La tomodensitométrie abdominale aide au diagnostic en mettant en évidence l'invagination et parfois la tumeur. L'exérèse chirurgicale suivie de l'examen anatomopathologique de la pièce opératoire permet de poser le diagnostic de lipome. Mots clés Lipome géant · Côlon · InvaginationAbstract The colic intussusception on lipoma is rare.Herein, we report the case of ileocolic intussusception in the right colic lipoma occurred in a 42-years-old woman. The clinical and ultrasonographic aspects directed towards an urinary pathology. The occurrence of an occlusive syndrome and ileocolic intussusception detected by computerized tomographic (CT) scan are consistent with a right hemicolectomy. Furthermore, pathological investigation confirmed the diagnosis of lipoma. Conclusion: Colonic lipoma is rare and its symptoms are not specific. Abdominal CT scan helps for the diagnosis by giving evidence for an intussusception and sometimes for a tumor. Surgical excision followed by pathological examination of the surgical specimen enables the diagnosis of lipoma.