Abstract
Objective: We present a case of migrated IUCD into the rectum 2 years after its insertion. Case: A 34 years old lady suffers from a migrated intrauterine copper device (MLZ380) into the rectum despite being asymptomatic for 2 years. Diagnosis was made by a combination of x rays, ultrasound and laparoscopy. Successful removal was performed by a multidisciplinary effort through diagnostic laparoscopy, colonoscopy and anterior resection of bowel in the same settings. Conclusion: Our case demonstrated a migrated IUCD can have its large proportion migrated into the rectal cavity while despite rectal perforation, it can remain relatively asymptomatic for over 2 years. Removal of such migration often require detail investigations and multi-disciplinary involvement to ensure safe removal and in a single operative occurrence.
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