# Migrated Foreign Body Perforating the Colon: Scope for Colonoscopy

## TL;DR

A copper IUD migrated and perforated the colon over 30 years after insertion and was successfully removed using colonoscopy.

## Contribution

Demonstrates colonoscopy as a viable, less invasive treatment for migrated IUDs causing bowel perforation.

## Key findings

- A Cu-T IUD migrated and perforated the sigmoid colon 30+ years after insertion.
- The IUD was successfully removed via colonoscopy without surgical intervention.
- Colonoscopy is recommended as a preferred treatment for similar cases.

## 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.