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.