CONCLUSION
We reported a case of a perforated uterus post IUCD insertion that led
to the transmigration of IUCD, leading to an abdominal abscess. Such
complications, though rare, may impact the overall uptake of
contraception in developing countries. Hence, to reduce the failure
rates and perforation of the uterus, the health staff should be
adequately trained. Also, more surveillance is warranted post-IUCD
insertion, and patients should be called regularly for follow-up from
the clinic. Adequate counselling regarding the device placement and
danger signs should also be explained. Misplaced IUCD should be
considered when a patient is presenting with miscarriage and the history
of IUCD placement should be asked for such patients even when the
patients don’t mention it themselves. Good counselling, proper
follow-up, and timely diagnosis could have prevented the potentially
fatal complication of foreign body reaction and abscess formation seen
in our patient.