HighlightsIntrauterine devices (IUD) are effective, safe, and widely used contraceptive devices. Their use is about 14.7% in the developing countries and 8.9% in developed ones.The perforation of the uterus by the IUD is a relatively rare complication whose incidence is estimated between 1.3 and 1.6 per 1000 insertions, but the consequences can be very serious.Ectopic migration of IUD with involvement of adjacent organs can cause catastrophic complications such as gastrointestinal perforation.Ideal treatment of IUD migration remains controversial.