Abstract
The intrauterine device (IUD) is a widely utilized contraceptive method. In cases of uterine rupture, an IUD can migrate to the intra-abdominal or pelvic cavity, leading to various complications such as gastrointestinal perforation. The aim of this study was to report a case of a 29-year-old woman presented with acute left lumber pain. A computerized tomography scan revealed a left para tubal collection measuring 5x6cm, with the IUD located outside the uterine cavity and penetrating the rectum. Surgical intervention was performed, resulting in the complete retrieval of the device and closure of the perforation. The case report highlights the potential for serious complications associated with IUD use and the need for healthcare providers to be vigilant and to promptly recognize and manage them through a multidisciplinary approach.