• Guifeng Jia, Xiaojing Liu, Yanling He, Peng Du, Zhiwei Sun, and Wei Chai.
• Department of Gynecology and Obstetrics, The First Hospital of Jilin University, Changchun, China.
• Medicine (Baltimore). 2024 Feb 16; 103 (7): e33857e33857.

RationaleUterine perforation is a serious complication of intrauterine contraceptive device (IUD) placement. However, as complete uterine perforation and extrauterine migration may remain asymptomatic, thorough localization of the IUD is important prior to reinsertion.Patient ConcernsA 33-year-old patient who has had 4 IUD insertions, wherein the location of the first IUD (inserted 14 years ago) was not identified prior to reinsertion and replacement of the subsequent three. She presented to hospital with a 6-month history of abdominal pain. Pelvic ultrasonography (US), radiography, hysteroscopy and laparoscopy examinations confirmed that a retained migrated IUD in the right broad ligament.DiagnosisUterine perforation, IUD migration to the broad ligament.InterventionsThe patient underwent hysteroscopy and laparoscopy.OutcomesBoth IUDs were successfully removed without any complications.Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.

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