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.