Missing IUCD – A Case Report

Intra-uterine contraceptive devices are one of the long-acting reversible contraceptive methods which are highly acceptable by patients. These are well tolerated by patients and serious complications like perforation rarely occur, but if such complications remain undetected, they can cause major morbidity to the patient. We report one such case of missing IUCD, which was found to be in pelvis outside of uterus, that was detected on routine post-insertion follow-up. Patient was operated immediately and is now doing well. We through this case report, want to emphasize the importance of proper counseling of the warning signs of perforation like pain abdomen and missing threads along with post insertion follow -ups for early identification of perforated IUCD thus, minimizing the patient morbidity.