INTRODUCTION
Copper intrauterine contraceptive device (IUCD) is one of the pillars of contraception in a developing country like Bangladesh, as it is both cheap and reliable.1 It is generally safe and widely accepted, but rarely it may be associated with life-threatening complications like uterine perforation and migration.2The incidence of uterine perforation varies and is around 13/1000 insertions.3 Also, the reported incidence of the transmigration of the IUCD from the uterus to the neighbouring organs is 1-3/1000 IUCD insertions.4 The perforation has a high tendency to occur on insertion, as the IUCD can become embedded in the uterus and later be forced through the walls by uterine contractions. In a few instances, IUCD has been reported in abdominal viscera, most commonly in the sigmoid colon.5 There is a high chance of chronic inflammation surrounding the misplaced IUCD, which produces chronic abdominal pain and complications, and the complications could persist for years, even after the removal of an IUCD because of the dense adhesions that develop in response to the inflammation.6 Cases of misplaced IUCD need to be reported because of their unusual presentations and occasional catastrophic complications. These isolated rare incidences of mishaps may impact the acceptance of family planning services in developing countries. Hence, here we present a case of a 22-year-old female with right lower abdominal pain, due to an abscess in the parietal wall caused by the far-migrated copper intrauterine contraceptive device.