DOI: 10.36347/sjmcr.2022.v10i07.021

Pages: 687-689

Introduction: Ileal perforation due to intrauterine device (IUD) migration is rare situation, but severe complication that can occur years after the insertion. Depending on the location of the injured intestine. Case presentation: A 64-year-old female presented to the outpatient clinic with a dorsal pain the patient reported a history of a neglected spine trauma a x ray was performed showing a chance spine fracture of the D12 and a small metallic T shape foreign body in the right iliac fossa a CT scan showed an IUD like foreign body in the lumen of the terminal ileum. After these CT findings, the patient informed us that she had IUD inserted almost 34 years ago. The patient refused the surgery removal option. Conclusions: Perforation of IUD can be asymptomatic, although sometimes it can cause short-term or long-term symptoms. Penetrated IUDs should be removed whenever identified. For intra-abdominal penetrations, the laparoscopic or mini-laparotomy approach is a safe and appropriate method.