Abstract
Intrauterine devices (IUDs) are still commonly used as a method of contraception in many parts of the world. Bowel perforation is a serious complication of IUD use. In most cases of migration, the IUD is removed laparoscopically or by laparotomy. In this case report, we have documented a novel case of copper IUD (Cu-T) migration and sigmoid colon perforation more than 30 years after insertion with nonspecific symptoms. It was removed colonoscopically without complications or the need for surgical intervention. We recommend the colonoscopy approach as the treatment of choice in similar cases.