A Rare Case of Misplaced Copper - T in Appendix Along with Appendicitis

Uterine perforation is one of the serious complications associated with the use of Intrauterine contraceptive devices (IUD). Perforation can occur during insertion or later. Delayed onset of symptoms is mostly due to chronic inflammatory reaction of copper-containing IUD. Presenting a 28 year old woman with pain over right iliac fossa since 6 months with misplaced copper T which had penetrated into the tip of appendix. Appendectomy was done and copper T was retrieved. The impacted copper T had caused local inflammatory changes leading to appendicitis. Patients with IUD should be alerted about the possibility of its migration. Regular self examination for “missing threads” is useful in the early detection of migration of IUDs. The treatment of a migrated IUD is surgical, either laparoscopy or laparotomy. Withdrawal of the migrated IUD is advisable even if its migration has not given rise to any clinical symptoms.